Healthcare Provider Details

I. General information

NPI: 1972793826
Provider Name (Legal Business Name): TANIA PAMELA ROJAS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 05/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 GOODRICH BLVD
COMMERCE CA
90022-5111
US

IV. Provider business mailing address

24017 SUNSET CROSSING RD
DIAMOND BAR CA
91765-1452
US

V. Phone/Fax

Practice location:
  • Phone: 323-725-1337
  • Fax:
Mailing address:
  • Phone: 909-396-8955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: