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NPI Code Detail

MEDICARE: ERICA JOUBERT

MEDICARE:   ERICA  JOUBERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerCHW2-5193NV
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1053903666
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA JOUBERT
Provider Business Mailing Address
First Line : 525 TECHNOLOGY CT STE 105
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2181
Country : US
Telephone Number : 951-686-8500
Fax Number :
Provider Business Practice Location Address
First Line : 6501 VEGAS DR APT 2088
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-7763
Country : US
Telephone Number : 702-842-0542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2021
Last Update Date : 10/16/2025

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Directions to “ ERICA JOUBERT ” Practice Location

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