Miss Nicol De La Rosa, is a
Student In An Organized Health Care Education/training Program based in Ventura, California. Miss Nicol De La Rosa is licensed to practice in * (Not Available) (license number ) and her current practice location is
864 E Santa Clara St, Ventura, California. She can be reached at her office (for appointments etc.) via phone at
(805) 643-1446.
NPI number for Miss Nicol De La Rosa is 1659948875 and her current mailing address is 3601 Calle Tecate, Camarillo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659948875.
Healthcare Provider's Profile
| Full Name | Miss Nicol De La Rosa |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 864 E Santa Clara St, Ventura, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659948875
- Provider Enumeration Date: 06/07/2021
- Last Update Date: 12/12/2023
Medical Identifiers
Medical identifiers for Miss Nicol De La Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659948875 | NPI | - | NPPES |
| 56CC | Other | CA | ASPIRA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Nicol De La Rosa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Nicol De La Rosa,
3601 Calle Tecate,
Camarillo, CA 93012-5056
Ph: (805) 289-0120 | Miss Nicol De La Rosa,
864 E Santa Clara St,
Ventura, CA 93001-2939
Ph: (805) 643-1446 |
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