Individual
MS. ANA MARICELA ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12414 EXPOSITION BLVD, LOS ANGELES, CA 90064-1016
(310) 272-7640
(310) 272-7656
Mailing address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-8621
(310) 829-8914
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95007168
CA
363LP2300X
Primary Care Nurse Practitioner
95007168
CA
Other
Enumeration date
08/22/2017
Last updated
02/16/2024
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