Individual
NICOLE ROUSE MOTAKEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
21580 YORBA LINDA BLVD STE B, YORBA LINDA, CA 92887-3748
(949) 414-9495
(949) 593-0312
Mailing address
21580 YORBA LINDA BLVD STE B, YORBA LINDA, CA 92887-3748
(949) 414-9495
(949) 593-0312
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20A16793
CA
Other
Enumeration date
03/29/2017
Last updated
03/31/2026
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