Provider Demographics
NPI:1043042047
Name:CHICAS, ROCIO
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:
Last Name:CHICAS
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 1:7592 INDIGO LN
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1406
Mailing Address - Country:US
Mailing Address - Phone:562-355-5213
Mailing Address - Fax:
Practice Address - Street 1:2888 LONG BEACH BLVD STE 405
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1551
Practice Address - Country:US
Practice Address - Phone:562-269-5429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-17
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53521225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant