Dominguez, Rosalva

Dominguez, Rosalva is an sole proprietor health care provider with primary practice located at 11731 Telegraph Rd Ste K , Santa Fe Springs CA 90670-6815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dominguez, Rosalva can be contacted via phone (562) 907-7429.

Contact Information

Primary practice address
11731 Telegraph Rd Ste K Santa Fe Springs CA 90670-6815
Phone: (562) 907-7429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW 22403 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 91222 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW91222 California

Profile Details

NPI number 1366623811
LBN Legal business name Dominguez, Rosalva
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2007
Last updated Jan 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366623811 NPPES
California Other 101YM0800X ASSOCIATE CLINICAL SOCIAL WORKER

Popular Providers