Dela Rosa, Russell Andrada

Dela Rosa, Russell Andrada is an individual health care provider with primary practice located at 4860 Y St Suite 1131, Sacramento CA 95817-2307. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Dela Rosa, Russell Andrada can be contacted via phone (916) 734-6732.

Contact Information

Primary practice address
4860 Y St Suite 1131 Sacramento CA 95817-2307
Phone: (916) 734-6732
Fax: (916) 734-6734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1427033703
LBN Legal business name Dela Rosa, Russell Andrada
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427033703 NPPES
Other CO# 2773 CERTIFIED ORTHOTIST

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