Rosario Eguino, MFT

Individual provider Active NPI Marriage & Family Therapist · La, CA

NPI 1447548532 · NPPES record last updated Jul 11, 2011

Key facts

NPI
1447548532
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFT29006 (CA)
Practice address
4616 Welch PL #3
La, CA 90027
Phone
(213) 924-2096
Fax
(323) 668-2472
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFT29006CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT29006 CA Yes
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

4616 Welch PL #3
La, CA 90027

Mailing address

4616 Welch PL #3
La, CA 90027
Phone (213) 924-2096

Other providers in La, CA

All providers in La, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.