Healthcare Provider Details

I. General information

NPI: 1912818246
Provider Name (Legal Business Name): ANTHONY ARMANDO CUARON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27990 SHERMAN RD
MENIFEE CA
92585-9155
US

IV. Provider business mailing address

44095 PALM AVE
HEMET CA
92544-5335
US

V. Phone/Fax

Practice location:
  • Phone: 951-309-9135
  • Fax:
Mailing address:
  • Phone: 951-623-7640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberW9568888
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: