Basic Information
| Provider Information | |||||||||
| NPI: | 1336302959 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CELADA | ||||||||
| FirstName: | ROBERTO | ||||||||
| MiddleName: | ARMANDO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 S SHORE CTR W | ||||||||
| Address2: | SUITE 103F | ||||||||
| City: | ALAMEDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945015762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108144630 | ||||||||
| FaxNumber: | 5108144644 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 S SHORE CTR W | ||||||||
| Address2: | SUITE F | ||||||||
| City: | ALAMEDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945015762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108144630 | ||||||||
| FaxNumber: | 5108144644 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2008 | ||||||||
| LastUpdateDate: | 02/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | A90276 | CA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.