Healthcare Provider Details

I. General information

NPI: 1235045956
Provider Name (Legal Business Name): JOHN JOEL SOGUE PARROCHA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 CONTRA COSTA BLVD UNIT 23712
PLEASANT HILL CA
94523-8029
US

IV. Provider business mailing address

1945 CONTRA COSTA BLVD
PLEASANT HILL CA
94523-3305
US

V. Phone/Fax

Practice location:
  • Phone: 925-849-7039
  • Fax:
Mailing address:
  • Phone: 925-849-7039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number030483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: