| Cross Cultural Services And Evaluations, Inc | |
|
1550 Airport Blvd Ste 206 Santa Rosa CA 95403-1095 | |
| (707) 799-4274 | |
| Not Available |
| Full Name | Cross Cultural Services And Evaluations, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1550 Airport Blvd Ste 206, Santa Rosa, California |
| Authorized Official Name and Position | Rodolfo Rodriguez (OWNER) |
| Authorized Official Contact | 7077994274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Cultural Services And Evaluations, Inc 1550 Airport Blvd Ste 206 Santa Rosa CA 95403-1095 Ph: (707) 799-4274 | Cross Cultural Services And Evaluations, Inc 1550 Airport Blvd Ste 206 Santa Rosa CA 95403-1095 Ph: (707) 799-4274 |
| NPI Number | 1023505344 |
|---|---|
| Provider Enumeration Date | 04/23/2018 |
| Last Update Date | 04/23/2018 |
| Medicare PECOS PAC ID | 5193078665 |
|---|---|
| Medicare Enrollment ID | O20181030002929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023505344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY11538 (California) | Primary |
| Provider Name | Rodolfo Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881871036 PECOS PAC ID: 9638232499 Enrollment ID: I20150129001653 |
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