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NPI Code Detail

MEDICARE: THE ROSE YARDE

MEDICARE: THE ROSE YARDE
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
1102L00000XPsychoanalyst
2251J00000XNursing Care Agency
3261QC1500XCommunity Health Clinic/Center
4261QI0500XInfusion Therapy Clinic/Center
5363LF0000XFamily Nurse Practitioner
6363LP0808XPsychiatric/Mental Health Nurse Practitioner
7261QP2300XPrimary Care Clinic/Center
8305S00000XPoint of Service
9261QM0855XAdolescent and Children Mental Health Clinic/Center
10261QP0905XState or Local Public Health Clinic/Center
11261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1770096828
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ROSE YARDE
Provider Business Mailing Address
First Line : 17709 CHATSWORTH ST
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-5675
Country : US
Telephone Number : 424-333-8418
Fax Number : 818-450-0611
Provider Business Practice Location Address
First Line : 113 N SAN VICENTE BLVD STE 253
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-2329
Country : US
Telephone Number : 424-209-4500
Fax Number : 818-450-0611
Authorized Official
Title or Position : OWNER
Name : ARLENE ARETHA TAYLOR ROSE
Credential : PMHNP-BC
Telephone Number : 424-209-4500
Provider Enumeration Date : 11/13/2017
Last Update Date : 01/24/2022

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Directions to “THE ROSE YARDE ” Practice Location

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