Provider Demographics
NPI:1659414670
Name:SHROFF, RASHMI ASHWIN (NP)
Entity Type:Individual
Prefix:
First Name:RASHMI
Middle Name:ASHWIN
Last Name:SHROFF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17703 LA PASAITA CT
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4113
Mailing Address - Country:US
Mailing Address - Phone:626-913-5311
Mailing Address - Fax:
Practice Address - Street 1:4301 S FIGUEROA ST STE F
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-2671
Practice Address - Country:US
Practice Address - Phone:323-231-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP13067363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP 13067OtherNURSING BOARD