Organization
ANA LASTENIA RODAS
Active
Other names
Clinica Medica Cuzcatlan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA LASTENIA RODAS MD (PEDIATRICS)
(323) 581-8485
Entity
Organization
Contact information
Practice address
3559 E GAGE AVE, BELL, CA 90201-1042
(323) 581-8485
(323) 923-2809
Mailing address
3559 E GAGE AVE, BELL, CA 90201-1042
(323) 581-8485
(323) 923-2809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A40282
CA
208D00000X
General Practice Physician
A40282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A402820
—
CA
01
—
A40282
LINCENSE
CA
01
—
GR0092880
PROVIDER NUMBER MEDICAL
CA
Enumeration date
04/19/2007
Last updated
03/10/2009
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