Organization Name: | ANA LASTENIA RODAS |
NPI Number: | 1821215914 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANA LASTENIA RODAS (PEDIATRICS) |
Mailing Address: | 3559 E Gage Ave Bell |
State: | CA US |
Postal Code: | 902011042 |
Phone Number: | 3235818485 |
Fax Number: | 3239232809 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 03/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A40282 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |