Rotha So, is a
Student In An Organized Health Care Education/training Program based in San Leandro, California. Rotha So is licensed to practice in California (license number 85866) and her current practice location is
2275 Arlington Dr, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Rotha So is 1831539444 and her current mailing address is 2275 Arlington Dr, San Leandro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831539444.
Healthcare Provider's Profile
| Full Name | Rotha So |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2275 Arlington Dr, San Leandro, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831539444
- Provider Enumeration Date: 06/27/2013
- Last Update Date: 09/27/2018
Medical Identifiers
Medical identifiers for Rotha So such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831539444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 85866 (California) | Secondary |
| 104100000X | Social Worker | 85866 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 85866 (California) | 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. Rotha So 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 |
|---|
Rotha So,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Rotha So,
2275 Arlington Dr,
San Leandro, CA 94578
Ph: (510) 317-1444 |
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