Healthcare Provider Details
I. General information
NPI: 1659414670
Provider Name (Legal Business Name): RASHMI ASHWIN SHROFF N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/15/2007
Last Update Date: 02/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4301 S FIGUEROA ST STE F
LOS ANGELES CA
90037-2671
US
IV. Provider business mailing address
17703 LA PASAITA CT
ROWLAND HEIGHTS CA
91748-4113
US
V. Phone/Fax
- Phone: 323-231-7700
- Fax:
- Phone: 626-913-5311
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | NP13067 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: