=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811433824
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CINDY ROJAS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2017
-----------------------------------------------------
Last Update Date | 06/09/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17707 STUDEBAKER RD
-----------------------------------------------------
City | CERRITOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90703-2640
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-640-2067
-----------------------------------------------------
Fax | 562-467-7478
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6055 E WASHINGTON BLVD SUITE 900
-----------------------------------------------------
City | COMMERCE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90040-2449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-346-0960
-----------------------------------------------------
Fax | 323-346-0966
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225400000X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------