Individual provider · Type 1 NPI

Stephanie De la Rosa

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1417630609 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Call (626) 395-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1417630609

Stephanie De la Rosa's National Provider Identifier is 1417630609, issued on Aug 14, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 6, 2026.