| Santa Rosa Health Associates, Inc. | |
|
5011 Whittier Blvd Los Angeles CA 90022-3116 | |
| (323) 981-2933 | |
| (323) 981-2935 |
| Full Name | Santa Rosa Health Associates, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 5011 Whittier Blvd, Los Angeles, California |
| Authorized Official Name and Position | Teresa Sifuentes Ortiz (CFO, OWNER) |
| Authorized Official Contact | 3232162068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Rosa Health Associates, Inc. 5011 Whittier Blvd Los Angeles CA 90022-3116 Ph: (323) 981-2933 | Santa Rosa Health Associates, Inc. 5011 Whittier Blvd Los Angeles CA 90022-3116 Ph: (323) 981-2933 |
| NPI Number | 1457611014 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457611014 | NPI | - | NPPES |
| PA19011 | Other | CA | CA PHYSICIAN ASSISTANT LICENSE |
| 7205 | Other | CA | CA FAMILY NURSE PRACTITIONER LICENSE |
| 15206 | Other | CA | CA FAMILY NURSE PRACTITIONER LICENSE |
| A41270 | Other | CA | CA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A41270 (California) | Primary |
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