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NPI Code Detail

MEDICARE: ROSINA KEREN

MEDICARE: ROSINA KEREN
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
11041C0700XClinical Social WorkerLCS17090CA

General Provider Information

NPI Number : 1356135677
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSINA KEREN
Provider Business Mailing Address
First Line : 2020 BONAR ST
Second Line :
City : BERKELEY
State : CA
Zip : 94702-1793
Country : US
Telephone Number : 510-847-2196
Fax Number :
Provider Business Practice Location Address
First Line : 2020 BONAR ST RM 112
Second Line :
City : BERKELEY
State : CA
Zip : 94702-1793
Country : US
Telephone Number : 510-486-9354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2025
Last Update Date : 04/09/2025

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Directions to “ ROSINA KEREN ” Practice Location

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