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NPI Code Detail

MEDICARE: MONICA RODARTE VAN NORDEN MD

MEDICARE:   MONICA RODARTE VAN NORDEN  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
1207Q00000XFamily Medicine PhysicianA89955CA

General Provider Information

NPI Number : 1336297373
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA RODARTE VAN NORDEN MD
Provider Business Mailing Address
First Line : 5119 POMONA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-1711
Country : US
Telephone Number : 323-783-4011
Fax Number :
Provider Business Practice Location Address
First Line : 5119 POMONA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-1711
Country : US
Telephone Number : 323-783-4011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 12/06/2021

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Directions to “ MONICA RODARTE VAN NORDEN MD” Practice Location

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