Individual
JORGE SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 SAN FELIPE RD STE 12, HOLLISTER, CA 95023-3035
(669) 326-4665
Mailing address
19 NOGAL CIR, SALINAS, CA 93905-1213
(831) 279-6684
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-TYONMG
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/07/2025
Last updated
03/16/2026
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