Provider Demographics
NPI:1285851808
Name:MAGHIRANG, ROCHELLE LEONARDO (CPHT)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:LEONARDO
Last Name:MAGHIRANG
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-1408
Mailing Address - Country:US
Mailing Address - Phone:310-393-9821
Mailing Address - Fax:
Practice Address - Street 1:802 7TH ST
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-1408
Practice Address - Country:US
Practice Address - Phone:310-393-9821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64642183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician