MEDICARE: ROSY BIGLARIPOOR MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	80010	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	940258168	OTHER	CA	MEDICAL

General Provider Information

NPI Number	:	1043527211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSY BIGLARIPOOR MA

Provider Business Mailing Address
First Line	:	4100 MOORPARK AVE STE 106
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95117-1707
Country	:	US
Telephone Number	:	408-605-1205
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 MOORPARK AVE STE 106
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95117-1707
Country	:	US
Telephone Number	:	408-605-1205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	03/10/2017

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Directions to “ ROSY BIGLARIPOOR MA” Practice Location

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