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NPI Code Detail

MEDICARE: NAHOMI ROSAS

MEDICARE: NAHOMI ROSAS
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
1103TS0200XSchool PsychologistLEP4662CA
2103TS0200XSchool Psychologist250057533CA

General Provider Information

NPI Number : 1255294138
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAHOMI ROSAS
Provider Business Mailing Address
First Line : 2071 WATERBURY
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-2313
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7260 LINDA VISTA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-6128
Country : US
Telephone Number : 858-496-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 01/08/2026

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Directions to “ NAHOMI ROSAS ” Practice Location

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