Provider Demographics
NPI:1750632238
Name:ROJAS, BRIANA LYNN (MA)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:LYNN
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 9TH AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2846
Mailing Address - Country:US
Mailing Address - Phone:909-213-2973
Mailing Address - Fax:
Practice Address - Street 1:950 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114
Practice Address - Country:US
Practice Address - Phone:909-213-2973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2017-01-04
Deactivation Date:2014-10-07
Deactivation Code:
Reactivation Date:2017-01-04
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator