Haydee Rudholm in Playa Vista - Physician Assistant

Haydee Rudholm - NPI 1730254996

Haydee Rudholm is a Physician Assistant in Playa Vista, California. Haydee Rudholm practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Haydee Rudholm is 1730254996. The last update date is 2007-07-08.

Haydee Rudholm's current location address is 5935 Playa Vista Dr Apt 102, Playa Vista, California. You can contact this provider via phone number 3238410955. The mailing address for Haydee Rudholm is 5935 Playa Vista Dr Apt 102, Playa Vista, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Haydee Rudholm
Address 5935 Playa Vista Dr Apt 102, Playa Vista, California
Phone Number 3238410955
Fax Number
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1730254996
Provider Enumeration Date 2006-11-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5935 Playa Vista Dr Apt 102
City Playa Vista
State California (CA)
Post Code 900942131
Phone Number 3238410955
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA 13119
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Haydee Rudholm

What is the unique 10-digit identification code assigned to Haydee Rudholm by the Centers for Medicare & Medicaid Services?

The Haydee Rudholm has been issued the NPI (National Provider Identifier) 1730254996, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Haydee Rudholm's facilities are situated?

The facilities of Haydee Rudholm are physically located at the following address: 5935 Playa Vista Dr Apt 102, Playa Vista, CA, 900942131.

What is the Haydee Rudholm's specialty and taxonomy code?

The Haydee Rudholm's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did Haydee Rudholm receive its 1730254996 assignment from the Centers for Medicare & Medicaid Services?

The Haydee Rudholm was assigned its 1730254996 on 2006-11-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Haydee Rudholm, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Haydee Rudholm, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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