Healthcare Provider Details

I. General information

NPI: 1245047364
Provider Name (Legal Business Name): TANYA JOAQUINA FIGUEROA MSFP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TANYA JOAQUINA FIGUEROA M.S., MSFP

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29019 CARILLO CT
MORENO VALLEY CA
92555-6501
US

IV. Provider business mailing address

28108 BELFRY CIR
MORENO VALLEY CA
92555-5414
US

V. Phone/Fax

Practice location:
  • Phone: 951-488-0611
  • Fax:
Mailing address:
  • Phone: 951-488-0611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: