Provider Demographics
NPI:1184607186
Name:PAZ'SOLDAN, RISHA (MSW)
Entity type:Individual
Prefix:
First Name:RISHA
Middle Name:
Last Name:PAZ'SOLDAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21405 STANWELL ST
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2253
Mailing Address - Country:US
Mailing Address - Phone:818-700-0209
Mailing Address - Fax:818-882-6332
Practice Address - Street 1:21405 STANWELL ST
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2253
Practice Address - Country:US
Practice Address - Phone:818-700-0209
Practice Address - Fax:818-701-5181
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2010-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALC11124104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA77414Medicare UPIN