MEDICARE: MRS. ELIZABETH CHRISTINE ROW

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	1041C0700X	Clinical Social Worker	ASW21020	CA
2	1041C0700X	Clinical Social Worker	27505	CA

General Provider Information

NPI Number	:	1265607006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH CHRISTINE ROW

Provider Business Mailing Address
First Line	:	601 N ROSS ST FL 5
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92701-4091
Country	:	US
Telephone Number	:	714-834-6030
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 N ROSS ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92701-4091
Country	:	US
Telephone Number	:	714-834-6030
Fax Number	:

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

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	03/30/2023

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