Individual
EVA BERGADO RODRIGUEZ-ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1403 LOMITA BLVD STE 305, HARBOR CITY, CA 90710-2085
(310) 325-4344
(310) 325-0594
Mailing address
1403 LOMITA BLVD STE 305, HARBOR CITY, CA 90710-2085
(310) 325-4344
(310) 325-0594
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A033241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D34038
LABCORP
CA
Enumeration date
10/06/2006
Last updated
07/08/2007
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