Provider Demographics
NPI:1619236726
Name:MONJARRAZ, ANA L (MA, CRC)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:L
Last Name:MONJARRAZ
Suffix:
Gender:F
Credentials:MA, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81840 AVENUE 46 STE 201
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-3948
Mailing Address - Country:US
Mailing Address - Phone:760-391-6971
Mailing Address - Fax:
Practice Address - Street 1:81840 AVENUE 46 STE 201
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-3948
Practice Address - Country:US
Practice Address - Phone:760-391-6971
Practice Address - Fax:760-391-6998
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator