Provider Demographics
NPI:1861181950
Name:CHALE, ROSALINDA
Entity type:Individual
Prefix:MS
First Name:ROSALINDA
Middle Name:
Last Name:CHALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 KENT ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-4012
Mailing Address - Country:US
Mailing Address - Phone:213-494-4303
Mailing Address - Fax:
Practice Address - Street 1:226 N LARCHMONT BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-3707
Practice Address - Country:US
Practice Address - Phone:323-467-1366
Practice Address - Fax:323-467-8274
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29845183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician