Provider Demographics
NPI:1679266886
Name:ROJAS, GABRIELA (CNA)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 W DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90222-4036
Mailing Address - Country:US
Mailing Address - Phone:310-874-5312
Mailing Address - Fax:
Practice Address - Street 1:109 W DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90222-4036
Practice Address - Country:US
Practice Address - Phone:310-874-5312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00861342376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide