Azucena Porral in Temple City - Adolescent Medicine
Azucena Porral - NPI 1881793743
Azucena Porral is a Adolescent Medicine in Temple City, California. Azucena Porral practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Azucena Porral is 1881793743. The last update date is 2007-07-08.
Azucena Porral's current location address is 5546 Rosemead Blvd Ste 102, Temple City, California. You can contact this provider via phone number 6262859600 and fax number 6262852214. The mailing address for Azucena Porral is 5546 Rosemead Blvd Ste 102, Temple City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Azucena Porral |
|---|---|
| Address | 5546 Rosemead Blvd Ste 102, Temple City, California |
| Phone Number | 6262859600 |
| Fax Number | 6262852214 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881793743 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5546 Rosemead Blvd Ste 102 |
|---|---|
| City | Temple City |
| State | California (CA) |
| Post Code | 917801855 |
| Phone Number | 6262859600 |
| Fax Number | 6262852214 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | A25493 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A254930 | CA | -- | |
| A25493 | CA | DOCTORS STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Azucena Porral by the Centers for Medicare & Medicaid Services (CMS)?
The Azucena Porral has been assigned the NPI (National Provider Identifier) 1881793743. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Azucena Porral is physically located?
The Azucena Porral is physically situated at the following address: 5546 Rosemead Blvd Ste 102, Temple City, CA, 917801855.
What is Azucena Porral's specialized field of practice, and what is the corresponding taxonomy classification code?
The Azucena Porral's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
When did the Azucena Porral receive its 1881793743?
The Azucena Porral was issued its 1881793743 on 2006-09-21, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Azucena Porral most recently updated or revised?
The information pertaining to Azucena Porral, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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