Healthcare Provider Details

I. General information

NPI: 1487417499
Provider Name (Legal Business Name): ROWI NORTH ORANGE COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40810 COUNTY CENTER DR STE 150160
TEMECULA CA
92591-6053
US

IV. Provider business mailing address

171 E THOUSAND OAKS BLVD STE 207
THOUSAND OAKS CA
91360-5748
US

V. Phone/Fax

Practice location:
  • Phone: 805-356-3372
  • Fax:
Mailing address:
  • Phone: 805-356-3372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CANDICE FEINBERG
Title or Position: CEO
Credential: PSY.D.
Phone: 805-356-3372