Healthcare Provider Details

I. General information

NPI: 1811478589
Provider Name (Legal Business Name): JOANNA MARIE CORONA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2018
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32605 TEMECULA PKWY STE 202
TEMECULA CA
92592-6838
US

IV. Provider business mailing address

32605 TEMECULA PKWY STE 202
TEMECULA CA
92592-6838
US

V. Phone/Fax

Practice location:
  • Phone: 951-303-0006
  • Fax:
Mailing address:
  • Phone: 951-303-0006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number137191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: