Individual
MRS. SARA RONDINONE SHIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CRNA, MS
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-7400
(323) 442-7411
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7400
(323) 442-7411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
773040
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4295
CA
Other
Enumeration date
08/09/2012
Last updated
09/12/2018
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