Provider Demographics
NPI:1134221708
Name:MOLODOW, RONA ELLY (MD)
Entity type:Individual
Prefix:DR
First Name:RONA
Middle Name:ELLY
Last Name:MOLODOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6490 RODGERTON DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1918
Mailing Address - Country:US
Mailing Address - Phone:323-464-1660
Mailing Address - Fax:818-364-3243
Practice Address - Street 1:14445 OLIVE VIEW DR
Practice Address - Street 2:OLIVE VIEW MEDICAL CENTER
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1437
Practice Address - Country:US
Practice Address - Phone:818-364-3233
Practice Address - Fax:818-364-3243
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG075597208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics