Provider Demographics
NPI:1215275045
Name:ROBLES-RODRIGUEZ, MONICA ELIZABETH
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ELIZABETH
Last Name:ROBLES-RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 290
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-0290
Mailing Address - Country:US
Mailing Address - Phone:562-587-9595
Mailing Address - Fax:
Practice Address - Street 1:10846 BEVERLY BLVD STE B
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-2573
Practice Address - Country:US
Practice Address - Phone:562-526-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist