Healthcare Provider Details

I. General information

NPI: 1124839170
Provider Name (Legal Business Name): TWINKY YU SORIANO FNP-C,FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 S CASITA ST
ANAHEIM CA
92805-4747
US

IV. Provider business mailing address

681 S CASITA ST
ANAHEIM CA
92805-4747
US

V. Phone/Fax

Practice location:
  • Phone: 562-852-4348
  • Fax:
Mailing address:
  • Phone: 562-852-4348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number702883
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number702883
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License Number702883
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF09240280
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2024056531
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: