Roxana Gilda De La Rosa
Optometrist
105 1/2 S Vermont Ave
Los Angeles
, California 90004-5904
Roxana Gilda De La Rosa
Optometrist
105 1/2 S Vermont Ave
Los Angeles
, California 90004-5904
(323) 734-5307
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Roxana Gilda De La Rosa
- 1652 S Berendo St
- Los Angeles, CA
- Zip : 90006-4411
- Phone : (323) 734-5307
Second Address
- Roxana Gilda De La Rosa
- 105 1/2 S Vermont Ave
- Los Angeles, CA
- Zip : 90004-5904
- Phone : (213) 383-8036
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 13835 | CA |
National Provider Identifier
| NPI | 1003048588 |
|---|---|
| Provider Name | Roxana Gilda De La Rosa |
| First Address | Los Angeles, CA 90006-4411 |
| Second Address | Los Angeles, CA 90004-5904 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2009 |
| Last Update Date | 02/04/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.