MEDICARE: PAULINA RHOADES ASW

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
1	1041C0700X	Clinical Social Worker	110066	CA

General Provider Information

NPI Number	:	1912735994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINA RHOADES ASW

Provider Business Mailing Address
First Line	:	25581 INDIAN HILL LN UNIT H
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-6097
Country	:	US
Telephone Number	:	949-813-6131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 QUAIL ST STE 290
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2743
Country	:	US
Telephone Number	:	949-662-1297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	07/23/2024

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Directions to “ PAULINA RHOADES ASW” Practice Location

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