Healthcare Provider Details

I. General information

NPI: 1083005300
Provider Name (Legal Business Name): NATALIA C LLARENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2015
Last Update Date: 05/27/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 S LAKE AVE FL 9
PASADENA CA
91101-2676
US

IV. Provider business mailing address

55 S LAKE AVE FL 9
PASADENA CA
91101-2676
US

V. Phone/Fax

Practice location:
  • Phone: 818-212-7541
  • Fax:
Mailing address:
  • Phone: 626-660-9718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberA177111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: