Provider Demographics
NPI:1386662088
Name:RINALDI, ROBERTA SR
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:RINALDI
Suffix:SR
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 1:10636 WILSHIRE BLVD
Mailing Address - Street 2:STE 405
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4592
Mailing Address - Country:US
Mailing Address - Phone:310-475-2099
Mailing Address - Fax:949-643-7956
Practice Address - Street 1:10636 WILSHIRE BLVD
Practice Address - Street 2:STE 405
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4592
Practice Address - Country:US
Practice Address - Phone:310-475-2099
Practice Address - Fax:949-643-7956
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS102391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical