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NPI Code Detail

MEDICARE: ANTONIO JUAREZ SR.

MEDICARE: ANTONIO JUAREZ SR.
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1952253411
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIO JUAREZ SR.
Provider Business Mailing Address
First Line : 1528 BROOKHOLLOW DR STE 300
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5410
Country : US
Telephone Number : 714-951-3772
Fax Number :
Provider Business Practice Location Address
First Line : 1528 BROOKHOLLOW DR STE 300
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5410
Country : US
Telephone Number : 949-702-8006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ ANTONIO JUAREZ SR. ” Practice Location

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