Provider Demographics
NPI:1528871100
Name:ROUNDS, HALLIE
Entity type:Individual
Prefix:
First Name:HALLIE
Middle Name:
Last Name:ROUNDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17762 LA ENTRADA DR
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-2361
Mailing Address - Country:US
Mailing Address - Phone:714-514-9723
Mailing Address - Fax:
Practice Address - Street 1:17762 LA ENTRADA DR
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-2361
Practice Address - Country:US
Practice Address - Phone:714-514-9723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program