Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HAYDEE RUDHOLM, PA
Active Sole ProprietorMRS. HAYDEE RUDHOLM, PA is a Physician Assistant healthcare provider located in LOS ANGELES, California. NPI 1730254996 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LOS ANGELES, CA
Registration Details
- NPI Number
- 1730254996
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 22, 2006 (19.750126321866 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA 13119 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1701 ZONAL AVELOS ANGELES, CA, 900331065Browse CA providers · Browse ZIP 90033
- Phone
- 3232236146
- Fax
- 3232236399
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL PARK | P.A. | 1538162631 |
| DOMINICK A D'ANTUONO | PA-C | 1801898341 |
| MS. CARMEL NICHOLE RAPHAEL | PA | 1801883038 |
| MR. JOHNNY-AN THANH PHAM | PA C | 1457332504 |
| MISS JOVANA BALKIS | PA-C | 1235116039 |
| NGOC DUNG NGUYEN | P.A.-C | 1518931476 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.