Healthcare Provider Details

I. General information

NPI: 1851832976
Provider Name (Legal Business Name): JENNIFER GALICIA FRAZEE MENTAL HEALTH REHAB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E WARDLOW RD
LONG BEACH CA
90807-4630
US

IV. Provider business mailing address

6 CENTERPOINTE DR STE 700
LA PALMA CA
90623-2545
US

V. Phone/Fax

Practice location:
  • Phone: 818-404-4997
  • Fax:
Mailing address:
  • Phone: 818-404-4997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: