Provider Demographics
NPI:1114771813
Name:ROJAS, MARGARITA (PPS)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5722
Mailing Address - Country:US
Mailing Address - Phone:909-827-8476
Mailing Address - Fax:
Practice Address - Street 1:1000 W CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5722
Practice Address - Country:US
Practice Address - Phone:909-307-5420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool