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NPI Code Detail

MEDICARE: ROSA ELIZABETH COHEN-QUEZADA LCSW

MEDICARE: ROSA ELIZABETH COHEN-QUEZADA LCSW
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
1390200000XStudent in an Organized Health Care Education/Training Program
21041C0700XClinical Social Worker112343CA
3101YM0800XMental Health Counselor112343CA
41041C0700XClinical Social Worker136566CA

General Provider Information

NPI Number : 1073124855
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA ELIZABETH COHEN-QUEZADA LCSW
Provider Business Mailing Address
First Line : 4650 W SUNSET BLVD # 53
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-6062
Country : US
Telephone Number : 323-361-3849
Fax Number :
Provider Business Practice Location Address
First Line : 4650 W SUNSET BLVD # 53
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-6062
Country : US
Telephone Number : 323-361-3849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2020
Last Update Date : 02/17/2026

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Directions to “ ROSA ELIZABETH COHEN-QUEZADA LCSW” Practice Location

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