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NPI Code Detail

MEDICARE: DIANA A RODRIGUEZ-ALEXANDER MSW

MEDICARE: DIANA A RODRIGUEZ-ALEXANDER MSW
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
1101YM0800XMental Health CounselorASW64408CA

General Provider Information

NPI Number : 1649547134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA A RODRIGUEZ-ALEXANDER MSW
Provider Business Mailing Address
First Line : 301 VICTORIA ST
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-7131
Country : US
Telephone Number : 949-642-2734
Fax Number :
Provider Business Practice Location Address
First Line : 301 VICTORIA ST
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-7131
Country : US
Telephone Number : 949-642-2734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2011
Last Update Date : 05/17/2023

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Directions to “ DIANA A RODRIGUEZ-ALEXANDER MSW” Practice Location

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