Provider Demographics
NPI:1568942688
Name:CASAS, GIOVANNI
Entity Type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:
Last Name:CASAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 W CARLTON PL
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-4022
Mailing Address - Country:US
Mailing Address - Phone:714-705-5822
Mailing Address - Fax:
Practice Address - Street 1:2717 W CARLTON PL
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-4022
Practice Address - Country:US
Practice Address - Phone:714-705-5822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health