Healthcare Provider Details

I. General information

NPI: 1588413439
Provider Name (Legal Business Name): FELIPE ISIAH ROJAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR STE 160
OXNARD CA
93036-2612
US

IV. Provider business mailing address

1911 WILLIAMS DR STE 160
OXNARD CA
93036-2612
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-8829
  • Fax:
Mailing address:
  • Phone: 805-981-8829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: