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NPI Code Detail

MEDICARE: ROVEENA IRISH HAMILTON JANSAN

MEDICARE: ROVEENA IRISH HAMILTON JANSAN
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
11041S0200XSchool Social WorkerCA
2104100000XSocial WorkerCA
3106S00000XBehavior TechnicianCA
41041C0700XClinical Social WorkerCA

General Provider Information

NPI Number : 1831040401
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROVEENA IRISH HAMILTON JANSAN
Provider Business Mailing Address
First Line : 15974 JAMIE LN UNIT 6
Second Line :
City : FONTANA
State : CA
Zip : 92336-6162
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11799 SEBASTIAN WAY STE 103
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0708
Country : US
Telephone Number : 801-500-3313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/12/2026

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Directions to “ ROVEENA IRISH HAMILTON JANSAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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