Provider Demographics
NPI:1497936942
Name:KIRPICHYAN, ROZA (CAARR)
Entity Type:Individual
Prefix:
First Name:ROZA
Middle Name:
Last Name:KIRPICHYAN
Suffix:
Gender:F
Credentials:CAARR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3660
Mailing Address - Country:US
Mailing Address - Phone:626-792-8797
Mailing Address - Fax:626-792-8798
Practice Address - Street 1:2331 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3660
Practice Address - Country:US
Practice Address - Phone:626-792-8797
Practice Address - Fax:626-792-8798
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)