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NPI Code Detail

MEDICARE: SEBASTIAN DE LA ROSA

MEDICARE: SEBASTIAN DE LA ROSA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1124961289
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEBASTIAN DE LA ROSA
Provider Business Mailing Address
First Line : 7422 GARVEY AVE UNIT 204
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2974
Country : US
Telephone Number : 626-531-6999
Fax Number : 626-521-6998
Provider Business Practice Location Address
First Line : 7422 GARVEY AVE UNIT 204
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2974
Country : US
Telephone Number : 626-531-6999
Fax Number : 626-521-6998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ SEBASTIAN DE LA ROSA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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