Williams, Ross Rodgers

Williams, Ross Rodgers is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Ste 200 , Pacoima CA 91331-1393. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Williams, Ross Rodgers can be contacted via phone (188) 961-1618.

Contact Information

Primary practice address
12450 Van Nuys Blvd Ste 200 Pacoima CA 91331-1393
Phone: (188) 961-1618
Fax: (818) 896-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194951152
LBN Legal business name Williams, Ross Rodgers
Credentials MFT TRAINEE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2009
Last updated Dec 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194951152 NPPES
California MEDICAID 6758
California MEDICAID 7068
California MEDICAID 7420

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