Provider Demographics
NPI:1215048558
Name:DEL ROSARIO, ALICE LUCINDA (MD)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:LUCINDA
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3835 N FREEWAY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1954
Mailing Address - Country:US
Mailing Address - Phone:916-576-7900
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:29899 BALENTINE DR
Practice Address - Street 2:STE 210
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5361
Practice Address - Country:US
Practice Address - Phone:510-657-9700
Practice Address - Fax:510-657-7335
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-03-29
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Provider Licenses
StateLicense IDTaxonomies
CAA389792084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry