Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | A134344 | CA |
NPI | 1093159493 |
---|---|
Provider Name | Dr. Ria Rowena Andrade |
First Address | La Habra, CA 90631-6047 |
Second Address | La Habra, CA 90631-6047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2013 |
Last Update Date | 28/01/2021 |