Healthcare Provider Details

I. General information

NPI: 1215172747
Provider Name (Legal Business Name): RITA PAOLA OCHOA N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2008
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 S SAN PEDRO ST
LOS ANGELES CA
90013-2101
US

IV. Provider business mailing address

13076 BEAVER ST
SYLMAR CA
91342-2511
US

V. Phone/Fax

Practice location:
  • Phone: 213-673-4849
  • Fax:
Mailing address:
  • Phone: 818-897-2463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number639942
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: