MEDICARE: MS. ANNE-LORRANE ALAPAN UGALDE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	616412	CA
2	363LG0600X	Gerontology Nurse Practitioner	17557	CA

General Provider Information

NPI Number	:	1083805980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE-LORRANE ALAPAN UGALDE NP

Provider Business Mailing Address
First Line	:	1000 W CARSON ST BLDG N28
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-2059
Country	:	US
Telephone Number	:	310-222-3891
Fax Number	:	310-782-1837

Provider Business Practice Location Address
First Line	:	1000 W CARSON ST BLDG N28
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-2059
Country	:	US
Telephone Number	:	310-222-3891
Fax Number	:	310-782-1837

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	08/28/2019

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