Porral, Azucena
Porral, Azucena is an sole proprietor health care provider with primary practice located at 5546 Rosemead Blvd Ste 102 , Temple City CA 91780-1855. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Porral, Azucena can be contacted via phone (626) 285-9600.Contact Information
Primary practice address
5546 Rosemead Blvd Ste 102
Temple City CA 91780-1855
Phone: (626) 285-9600
Fax: (626) 285-2214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | A25493 | California |
Profile Details
| NPI number | 1881793743 |
|---|---|
| LBN Legal business name | Porral, Azucena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881793743 | NPPES |
| California | MEDICAID | 00A254930 | |
| California | Other | A25493 |
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