Garcia, Rosa Idalia

Garcia, Rosa Idalia is an individual health care provider with primary practice located at 14119 Bucher Ave , Sylmar CA 91342-1442. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Garcia, Rosa Idalia can be contacted via phone (818) 290-5307.

Contact Information

Primary practice address
14119 Bucher Ave Sylmar CA 91342-1442
Phone: (818) 290-5307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1821128901
LBN Legal business name Garcia, Rosa Idalia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Dec 19th, 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 1821128901 NPPES
California MEDICAID 7068
California MEDICAID 7420

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