Fonseca, Ana Rosa

Fonseca, Ana Rosa is an individual health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Fonseca, Ana Rosa can be contacted via phone (818) 277-2601.

Contact Information

Primary practice address
15305 Rayen St North Hills CA 91343-5117
Phone: (818) 277-2601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1508354044
LBN Legal business name Fonseca, Ana Rosa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2018
Last updated Jul 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508354044 NPPES
California Other 95-2633765 MEDI-CAL

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