Marilou C. Rosas Behavioral Health, Inc. | |
32605 Temecula Pkwy Suite 219 Temecula CA 92592-6837 | |
(951) 506-9112 | |
(951) 506-9113 |
Full Name | Marilou C. Rosas Behavioral Health, Inc. |
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Speciality | Clinical Neuropsychologist |
Location | 32605 Temecula Pkwy, Temecula, California |
Authorized Official Name and Position | Marilou Canada Rosas (MEDICAL DIRECTOR) |
Authorized Official Contact | 9515069112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marilou C. Rosas Behavioral Health, Inc. 32605 Temecula Pkwy Suite 219 Temecula CA 92592-6837 Ph: (951) 506-9112 | Marilou C. Rosas Behavioral Health, Inc. 32605 Temecula Pkwy Suite 219 Temecula CA 92592-6837 Ph: (951) 506-9112 |
NPI Number | 1871938803 |
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Provider Enumeration Date | 05/03/2013 |
Last Update Date | 05/03/2013 |
Medicare PECOS PAC ID | 3971727603 |
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Medicare Enrollment ID | O20140618002201 |
Identifier | Type | State | Issuer |
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1871938803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103G00000X | Clinical Neuropsychologist | A97944 (California) | Primary |
Provider Name | Marilou C Rosas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053339960 PECOS PAC ID: 9931126851 Enrollment ID: I20140618002162 |
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