Provider Demographics
NPI:1558597062
Name:ROJAS, ESTEBAN JR
Entity Type:Individual
Prefix:
First Name:ESTEBAN
Middle Name:
Last Name:ROJAS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 N 13TH AVE APT A
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-8176
Mailing Address - Country:US
Mailing Address - Phone:909-702-1911
Mailing Address - Fax:
Practice Address - Street 1:172 N 13TH AVE APT A
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-8176
Practice Address - Country:US
Practice Address - Phone:909-702-1911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator