Healthcare Provider Details

I. General information

NPI: 1902135700
Provider Name (Legal Business Name): ROSALINDA CELAYA HOUSING SPECIALIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2009
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 E FOOTHILL BLVD
PASADENA CA
91107-3406
US

IV. Provider business mailing address

1829 N AVENUE 53
LOS ANGELES CA
90042-1100
US

V. Phone/Fax

Practice location:
  • Phone: 626-744-5230
  • Fax: 626-744-9650
Mailing address:
  • Phone: 626-744-5230
  • Fax: 626-744-9650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: