Healthcare Provider Details

I. General information

NPI: 1588547137
Provider Name (Legal Business Name): AUBREY NOVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 14TH ST
RIVERSIDE CA
92501-3815
US

IV. Provider business mailing address

1184 CAMDEN CT
UPLAND CA
91786-3423
US

V. Phone/Fax

Practice location:
  • Phone: 951-955-0394
  • Fax:
Mailing address:
  • Phone: 818-918-0775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: