Individual
SERGIO DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 FLORY AVE, MOORPARK, CA 93021-1819
(805) 378-6303
Mailing address
240 FLORY AVE, MOORPARK, CA 93021-1819
(805) 378-6303
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
CA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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