MEDICARE: REGENE GOENS

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
1	1041S0200X	School Social Worker	102777	CA

General Provider Information

NPI Number	:	1952258626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGENE GOENS

Provider Business Mailing Address
First Line	:	975 MORGAN ST
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-3157
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 MORGAN ST
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-3157
Country	:	US
Telephone Number	:	951-940-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ REGENE GOENS ” Practice Location

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