Provider Demographics
NPI:1588821995
Name:BEDOY, ROCIO
Entity Type:Individual
Prefix:MISS
First Name:ROCIO
Middle Name:
Last Name:BEDOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROCIO
Other - Middle Name:
Other - Last Name:BEDOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:10919 NEWCOMB AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-3226
Mailing Address - Country:US
Mailing Address - Phone:562-322-2813
Mailing Address - Fax:
Practice Address - Street 1:330 E LAMBERT RD STE 225
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821
Practice Address - Country:US
Practice Address - Phone:562-322-2813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA795531041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health