Provider Demographics
NPI:1164886792
Name:NEUDA, RHANIKA ALEXANDRA DEMA-ALA (MD)
Entity Type:Individual
Prefix:
First Name:RHANIKA ALEXANDRA
Middle Name:DEMA-ALA
Last Name:NEUDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RHANIKA ALEXANDRA
Other - Middle Name:GEPIELAGO
Other - Last Name:DEMA-ALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11980 SAN VICENTE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-5012
Mailing Address - Country:US
Mailing Address - Phone:310-208-7777
Mailing Address - Fax:310-445-8709
Practice Address - Street 1:11980 SAN VICENTE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-5012
Practice Address - Country:US
Practice Address - Phone:310-208-7777
Practice Address - Fax:310-445-8709
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-09
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA167352208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics