Healthcare Provider Details

I. General information

NPI: 1891515193
Provider Name (Legal Business Name): ANDRES ANASTACIO OCHOA ROCHA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2024
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 KENNEBEC AVE APT D
LONG BEACH CA
90803-5766
US

IV. Provider business mailing address

240 KENNEBEC AVE APT D
LONG BEACH CA
90803-5766
US

V. Phone/Fax

Practice location:
  • Phone: 562-353-0456
  • Fax:
Mailing address:
  • Phone: 562-353-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: