Healthcare Provider Details
I. General information
NPI: 1356232243
Provider Name (Legal Business Name): JOED APRIL GARBO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/10/2025
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9353 VALLEY BLVD
ROSEMEAD CA
91770-1923
US
IV. Provider business mailing address
9353 VALLEY BLVD
ROSEMEAD CA
91770-1923
US
V. Phone/Fax
- Phone: 626-278-2988
- Fax:
- Phone: 626-278-2988
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 373H00000X |
| Taxonomy | Day Training/Habilitation Specialist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | MPSS-HDXEWY |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: