AZUCENA PORRAL M.D.
NPI 1881793743
Pediatrics - Adolescent Medicine in Temple City, CA

Active since September 21, 2006CLIA 05D0714884 · Waiver
5546 ROSEMEAD BLVD STE 102, TEMPLE CITY, CA 91780(626) 285-9600(626) 285-2214 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Azucena Porral M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZUCENA PORRAL M.D. (NPI 1881793743) is an individual adolescent medicine provider in Temple City, California, licensed in California (A25493) and active in the NPI registry since September 2006. She holds a CLIA Waiver certificate valid through August 31, 2026.

NPPES Registry Identity

NPI1881793743
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameAZUCENA PORRALCredential: M.D.
Location Address5546 ROSEMEAD BLVD STE 102Temple City, CA 91780-1855
Mailing Address5546 Rosemead Blvd Ste 102Temple City, CA 91780-1855 · (626) 285-9600 · Fax (626) 285-2214
Fax(626) 285-2214
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1881793743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in CA · A25493
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

5546 ROSEMEAD BLVD STE 102, Temple City, CA 91780

Other Identifiers 2

Medicaid00A254930CA
OtherA25493CA · Doctors State License

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0714884
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
AZUCENA A. PORRAL MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Azucena Porral to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881793743, enumerated as an "individual" on September 21, 2006.

The provider is located at 5546 ROSEMEAD BLVD STE 102 TEMPLE CITY, CA 91780 and the phone number is (626) 285-9600.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.