Rodriguez-Ellis, Eva Bergado
Rodriguez-Ellis, Eva Bergado is an sole proprietor health care provider with primary practice located at 1403 Lomita Blvd Ste 305 , Harbor City CA 90710-2085. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rodriguez-Ellis, Eva Bergado can be contacted via phone (310) 325-4344.Contact Information
Primary practice address
1403 Lomita Blvd Ste 305
Harbor City CA 90710-2085
Phone: (310) 325-4344
Fax: (310) 325-0594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A033241 | California |
Profile Details
| NPI number | 1639266141 |
|---|---|
| LBN Legal business name | Rodriguez-Ellis, Eva Bergado |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639266141 | NPPES |
| California | Other | D34038 | LABCORP |
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