Whalio Doctors

NPI 1003048588

Roxana Gilda de La Rosa, OD

Practitioner Optometrist Los Angeles, CA

Practice location

Address
105 1/2 S Vermont Ave, Los Angeles, CA 90004-5904
Phone
(213) 383-8036
Mailing address
1652 S Berendo St, Los Angeles, CA 90006-4411

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 13835 (CA)

Registry record

NPI
1003048588
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Aug 2009
Record last updated
2 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.