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NPI Code Detail

MEDICARE: ROSELLE P RUPERTO

MEDICARE: ROSELLE P RUPERTO
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
1101YP2500XProfessional CounselorAPCC18868CA

General Provider Information

NPI Number : 1134987241
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSELLE P RUPERTO
Provider Business Mailing Address
First Line : 300 S HARBOR BLVD STE 910
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3721
Country : US
Telephone Number : 562-821-1491
Fax Number :
Provider Business Practice Location Address
First Line : 300 S HARBOR BLVD STE 910
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3721
Country : US
Telephone Number : 562-821-1491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2024
Last Update Date : 05/19/2025

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Directions to “ ROSELLE P RUPERTO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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