Healthcare Provider Details

I. General information

NPI: 1427490291
Provider Name (Legal Business Name): ANA ROSA NAJERA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 HUGHES WAY SUITE 150
LONG BEACH CA
90810-1876
US

IV. Provider business mailing address

1425 E 1ST ST APT 6
LONG BEACH CA
90802-8210
US

V. Phone/Fax

Practice location:
  • Phone: 310-221-6336
  • Fax:
Mailing address:
  • Phone: 562-865-3644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number23053
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: