Healthcare Provider Details

I. General information

NPI: 1003006560
Provider Name (Legal Business Name): ROVAJO ENTERPRISE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7056 KEARNY DR
HUNTINGTON BEACH CA
92648-6254
US

IV. Provider business mailing address

7056 KEARNY DR
HUNTINGTON BEACH CA
92648-6254
US

V. Phone/Fax

Practice location:
  • Phone: 800-225-9080
  • Fax:
Mailing address:
  • Phone: 800-225-9080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ROCHELLE LAPOINTE
Title or Position: SR ACT MGR
Credential:
Phone: 800-225-9080