Healthcare Provider Details

I. General information

NPI: 1922858604
Provider Name (Legal Business Name): ELIZABETH ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 S MOLLISON AVE
EL CAJON CA
92020-7735
US

IV. Provider business mailing address

928 BROADWAY
SAN DIEGO CA
92101-5514
US

V. Phone/Fax

Practice location:
  • Phone: 619-201-8372
  • Fax:
Mailing address:
  • Phone: 619-977-3716
  • Fax: 619-481-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: