Denise Goitia | San Leandro, CA • PECOS Search

Denise Goitia

Social Worker

Behavioral Health & Social Service Providers

1000 San Leandro Blvd, Suite 300, San Leandro, CA 94577-1598

PECOS Enrollment

Based on the most recent information from CMS, provider Denise Goitia does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1194132241
Provider Type
Individual
Full Name
Goitia, Denise
Gender
Female

Sole Proprietor
No
Enumeration Date
7/21/2014
Last Updated
7/21/2014

Contact Information

Practice Location

1000 San Leandro Blvd, Suite 300, San Leandro, CA 94577-1598

Unlisted Fax

Mailing Location

2012 10th St, Berkeley, CA 94710-2120

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer