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NPI Code Detail

MEDICARE: MS. TINA M DEL ROSARIO LCSW

MEDICARE:  MS. TINA M DEL ROSARIO  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorASW67392CA

General Provider Information

NPI Number : 1093140444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TINA M DEL ROSARIO LCSW
Provider Business Mailing Address
First Line : 400 N AVENUE 66
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-2931
Country : US
Telephone Number : 323-490-0050
Fax Number :
Provider Business Practice Location Address
First Line : 2550 HONOLULU AVE STE 107
Second Line :
City : MONTROSE
State : CA
Zip : 91020-1859
Country : US
Telephone Number : 323-490-0050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2013
Last Update Date : 03/17/2020

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Directions to “ MS. TINA M DEL ROSARIO LCSW” Practice Location

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