Healthcare Provider Details

I. General information

NPI: 1366419640
Provider Name (Legal Business Name): ROSSANA NATIVIDAD URANGA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSSANA FIGURACION NATIVIDAD M.D.

II. Dates (important events)

Enumeration Date: 03/04/2006
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 S RAYMOND AVE SUITE 200
ALHAMBRA CA
91801-7100
US

IV. Provider business mailing address

55 S RAYMOND AVE SUITE 200
ALHAMBRA CA
91801-7100
US

V. Phone/Fax

Practice location:
  • Phone: 626-293-1351
  • Fax: 626-570-5639
Mailing address:
  • Phone: 626-293-1351
  • Fax: 626-570-5639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA51038
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA51038
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: