Rosalva Gaytan-Mejia | San Leandro, CA • PECOS Search

Rosalva Gaytan-Mejia

Social Worker

Behavioral Health & Social Service Providers

1555 Doolittle Dr Ste 180, San Leandro, CA 94577-2239

PECOS Enrollment

Based on the most recent information from CMS, provider Rosalva Gaytan-Mejia does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1578903878
Provider Type
Individual
Full Name
Gaytan-Mejia, Rosalva
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/1/2013
Last Updated
2/20/2024

Contact Information

Practice Location

1555 Doolittle Dr Ste 180, San Leandro, CA 94577-2239

Unlisted Fax

Mailing Location

PO Box 2454, San Leandro, CA 94577-0245

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 113914 California