Provider Demographics
NPI:1497438782
Name:TOJ, ROSA
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:
Last Name:TOJ
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 1:37045 RAN DR
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-7506
Mailing Address - Country:US
Mailing Address - Phone:661-609-2265
Mailing Address - Fax:
Practice Address - Street 1:348 E AVENUE K4
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-4505
Practice Address - Country:US
Practice Address - Phone:661-221-1646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker