MEDICARE: ROCCO ADDANTE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	A141085	CA

General Provider Information

NPI Number	:	1215293014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCCO ADDANTE MD

Provider Business Mailing Address
First Line	:	344 HAUSER BLVD
Second Line	:	APT 203
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3280
Country	:	US
Telephone Number	:	347-281-1113
Fax Number	:

Provider Business Practice Location Address
First Line	:	344 HAUSER BLVD
Second Line	:	APT 203
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3280
Country	:	US
Telephone Number	:	347-281-1113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2012
Last Update Date	:	11/01/2021

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