Healthcare Provider Details

I. General information

NPI: 1497504500
Provider Name (Legal Business Name): ROCA LABORATORY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8588 TELFAIR AVE STE C
SUN VALLEY CA
91352-3145
US

IV. Provider business mailing address

8588 TELFAIR AVE STE C
SUN VALLEY CA
91352-3145
US

V. Phone/Fax

Practice location:
  • Phone: 818-505-3603
  • Fax:
Mailing address:
  • Phone: 818-505-3603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RODRIGO ALEXANDER SERRANO
Title or Position: CEO
Credential:
Phone: 818-505-3603