Provider Demographics
NPI:1093155293
Name:SESI, ROSE
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:SESI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 S MAGNOLIA AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-5237
Mailing Address - Country:US
Mailing Address - Phone:619-631-7400
Mailing Address - Fax:
Practice Address - Street 1:436 S MAGNOLIA AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-5237
Practice Address - Country:US
Practice Address - Phone:619-631-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker