Organization
STUDENT JIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR CANDELA JR. (CHIEF EXECUTIVE OFFICER)
(951) 254-3767
Entity
Organization
Contact information
Practice address
1655 E 6TH ST STE B6, CORONA, CA 92879-1719
(951) 254-3767
Mailing address
1655 E 6TH ST STE B6, CORONA, CA 92879-1719
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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