Organization
SANTA ROSA HEALTH ASSOCIATES, INC.
Active
Organization
SANTA ROSA HEALTH ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA SIFUENTES ORTIZ FNP (CFO, OWNER)
(323) 216-2068
Entity
Organization
Contact information
Practice address
5011 WHITTIER BLVD, LOS ANGELES, CA 90022-3116
(323) 981-2933
(323) 981-2935
Mailing address
5011 WHITTIER BLVD, LOS ANGELES, CA 90022-3116
(323) 981-2933
(323) 981-2935
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A41270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15206
CA FAMILY NURSE PRACTITIONER LICENSE
CA
01
—
7205
CA FAMILY NURSE PRACTITIONER LICENSE
CA
01
—
A41270
CA MEDICAL LICENSE
CA
01
—
PA19011
CA PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
05/16/2012
Last updated
05/16/2012
Update your record
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