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NPI Code Detail

MEDICARE: DAVID ROCHE

MEDICARE: DAVID ROCHE
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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1710511183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ROCHE
Provider Business Mailing Address
First Line : 1116 LEGEND CIR
Second Line :
City : VALLEJO
State : CA
Zip : 94591-8679
Country : US
Telephone Number : 209-203-2460
Fax Number :
Provider Business Practice Location Address
First Line : 1116 LEGEND CIR
Second Line :
City : VALLEJO
State : CA
Zip : 94591-8679
Country : US
Telephone Number : 209-203-2460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2020
Last Update Date : 12/04/2025

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Directions to “ DAVID ROCHE ” Practice Location

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