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NPI Code Detail

MEDICARE: KATHLEEN MACKENZIE ROCHA

MEDICARE: KATHLEEN MACKENZIE ROCHA
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
1171M00000XCase Manager/Care Coordinator
2373H00000XDay Training/Habilitation Specialist
3172V00000XCommunity Health Worker
4106S00000XBehavior TechnicianCA
5225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1538716832
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MACKENZIE ROCHA
Provider Business Mailing Address
First Line : 3652 MICHELSON DR
Second Line :
City : IRVINE
State : CA
Zip : 92612-1727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3652 MICHELSON DR
Second Line :
City : IRVINE
State : CA
Zip : 92612-1727
Country : US
Telephone Number : 949-539-6035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2019
Last Update Date : 12/12/2025

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Directions to “ KATHLEEN MACKENZIE ROCHA ” Practice Location

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