Provider Demographics
NPI:1134749666
Name:JOGA, REGINA ELENA
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:ELENA
Last Name:JOGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:VILKAS
Other - Last Name:JOGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:27084 ALABASTRO DR
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-2214
Mailing Address - Country:US
Mailing Address - Phone:661-510-0785
Mailing Address - Fax:
Practice Address - Street 1:27084 ALABASTRO DR
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354-2214
Practice Address - Country:US
Practice Address - Phone:661-510-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5835235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist