Azucena Porral
M.D. | Pediatric Adolescent Medicine | Female
Azucena Porral, M.D. is a Temple City, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Azucena Porral is
5546 Rosemead Blvd Ste 102, Temple City, California - 91780-1855. She can be contacted on phone at
626-285-9600 and fax number 626-285-2214.
Azucena Porral is a sole proprietor of her business.
NPI number (Unique professional ID) for Azucena Porral is
1881793743 which was assigned by NPPES on 21 Sep, 2006 and it was last updated on 08 Jul, 2007.
Azucena Porral license number is
A25493 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Azucena Porral specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Azucena Porral basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Azucena Porral |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Azucena Porral address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5546 Rosemead Blvd Ste 102
Temple City, CA, 91780-1855
United States |
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| Phone Number : | 626-285-9600 |
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| Fax Number : | 626-285-2214 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881793743 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Azucena Porral are as mentioned. Primary taxonomy code for Azucena Porral, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | A25493 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Azucena Porral such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A254930 | MEDICAID | CA | |
| A25493 | Other | CA | DOCTORS STATE LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5546 Rosemead Blvd Ste 102
Temple City, CA, 91780-1855
United States |
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| Phone Number : | 626-285-9600 |
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| Fax Number : | 626-285-2214 |
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Business Location:
Patients can refer following map for directions to
Azucena Porral practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.