Basic Information
Provider Information
NPI: 1427490291
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAJERA
FirstName: ANA
MiddleName: ROSA
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1425 E 1ST ST APT 6
Address2:  
City: LONG BEACH
State: CA
PostalCode: 908028210
CountryCode: US
TelephoneNumber: 5628653644
FaxNumber:  
Practice Location
Address1: 1501 HUGHES WAY
Address2: SUITE 150
City: LONG BEACH
State: CA
PostalCode: 908101876
CountryCode: US
TelephoneNumber: 3102216336
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/22/2013
LastUpdateDate: 02/04/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X23053CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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