Provider Demographics
NPI:1275651473
Name:MATULA, ROSITA ESPINA (MA,IMF)
Entity Type:Individual
Prefix:
First Name:ROSITA
Middle Name:ESPINA
Last Name:MATULA
Suffix:
Gender:F
Credentials:MA,IMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12665 SUNDANCE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2245
Mailing Address - Country:US
Mailing Address - Phone:858-538-7740
Mailing Address - Fax:858-538-5100
Practice Address - Street 1:12665 SUNDANCE AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2245
Practice Address - Country:US
Practice Address - Phone:858-538-7740
Practice Address - Fax:858-538-5100
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health