Provider Demographics
NPI:1366419640
Name:URANGA, ROSSANA NATIVIDAD (MD)
Entity type:Individual
Prefix:DR
First Name:ROSSANA
Middle Name:NATIVIDAD
Last Name:URANGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROSSANA
Other - Middle Name:FIGURACION
Other - Last Name:NATIVIDAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:55 S RAYMOND AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-7100
Mailing Address - Country:US
Mailing Address - Phone:626-293-1351
Mailing Address - Fax:626-570-5639
Practice Address - Street 1:55 S RAYMOND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-7100
Practice Address - Country:US
Practice Address - Phone:626-293-1351
Practice Address - Fax:626-570-5639
Is Sole Proprietor?:No
Enumeration Date:2006-03-04
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51038207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG04252Medicare UPIN