Provider Demographics
NPI:1366547655
Name:PILAPIL-PUREZA, MARICEL ALBANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:MARICEL
Middle Name:ALBANIEL
Last Name:PILAPIL-PUREZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARICEL
Other - Middle Name:ALBANIEL
Other - Last Name:PILAPIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6041 CADILLAC AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-1702
Mailing Address - Country:US
Mailing Address - Phone:323-857-3730
Mailing Address - Fax:
Practice Address - Street 1:11480 BROOKSHIRE AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5018
Practice Address - Country:US
Practice Address - Phone:562-923-6741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85956207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine