Provider Demographics
NPI:1528297280
Name:BLOCH, ROXANA D
Entity type:Individual
Prefix:MRS
First Name:ROXANA
Middle Name:D
Last Name:BLOCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROXANA
Other - Middle Name:D
Other - Last Name:FERREIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15000 BURBANK BLVD APT 108
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3664
Mailing Address - Country:US
Mailing Address - Phone:818-602-8703
Mailing Address - Fax:
Practice Address - Street 1:15000 BURBANK BLVD APT 108
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91411-3664
Practice Address - Country:US
Practice Address - Phone:818-602-8703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner