Healthcare Provider Details

I. General information

NPI: 1710693015
Provider Name (Legal Business Name): CINDY ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 E DEERE AVE STE 100
SANTA ANA CA
92705-5718
US

IV. Provider business mailing address

1940 E DEERE AVE STE 100
SANTA ANA CA
92705-5718
US

V. Phone/Fax

Practice location:
  • Phone: 714-543-4333
  • Fax:
Mailing address:
  • Phone: 714-543-4333
  • Fax:

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: