Provider Demographics
NPI:1013065036
Name:PRADA, NATALIA MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:MICHELLE
Last Name:PRADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20911 EARL ST STE 100
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4354
Mailing Address - Country:US
Mailing Address - Phone:310-214-2246
Mailing Address - Fax:310-370-1590
Practice Address - Street 1:20911 EARL ST STE 100
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4354
Practice Address - Country:US
Practice Address - Phone:310-214-2246
Practice Address - Fax:310-370-1590
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2025-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA89080208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics