=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184318966
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROCIO BECERRA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/06/2023
-----------------------------------------------------
Last Update Date | 09/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2705 W ORANGE AVE
-----------------------------------------------------
City | ANAHEIM
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92804-3298
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-761-5533
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4532 EL RANCHO VERDE DR
-----------------------------------------------------
City | LA PALMA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90623-2405
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-417-4935
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | ASW124490
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------