Healthcare Provider Details

I. General information

NPI: 1982251450
Provider Name (Legal Business Name): KAREN ANDREA ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 02/25/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 N RAYMOND AVE BLDG 2-7
PASADENA CA
91103-1819
US

IV. Provider business mailing address

1520 N RAYMOND AVE BLDG 2-7
PASADENA CA
91103-1819
US

V. Phone/Fax

Practice location:
  • Phone: 626-396-5920
  • Fax: 626-791-6251
Mailing address:
  • Phone: 626-396-5920
  • Fax: 626-791-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number83348
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number83348
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: