Basic Information
Provider Information
NPI: 1730557273
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OROPEZA
FirstName: STEPHANIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 900 CORPORATE CENTER DR STE 350
Address2:  
City: MONTEREY PARK
State: CA
PostalCode: 917547620
CountryCode: US
TelephoneNumber: 3235264016
FaxNumber: 3235264096
Practice Location
Address1: 900 CORPORATE CENTER DR STE 350
Address2:  
City: MONTEREY PARK
State: CA
PostalCode: 917547620
CountryCode: US
TelephoneNumber: 3235264016
FaxNumber: 3235264096
Other Information
ProviderEnumerationDate: 09/14/2015
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X77438CAN Behavioral Health & Social Service ProvidersCounselorMental Health
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
1041C0700X100233CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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