Basic Information
| Provider Information | |||||||||
| NPI: | 1154784437 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | RANA | ||||||||
| FirstName: | PRACHI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 N STATE ST | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900331029 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1200 N STATE ST | ||||||||
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| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900331029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3232267556 | ||||||||
| FaxNumber: | 3232262657 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2016 | ||||||||
| LastUpdateDate: | 10/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 036.149111 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | CA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208M00000X | 036.149111 | IL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.