Healthcare Provider Details

I. General information

NPI: 1609238286
Provider Name (Legal Business Name): ALISON LORIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 GARDEN ST
ARROYO GRANDE CA
93420-3408
US

IV. Provider business mailing address

242 GARDEN ST
ARROYO GRANDE CA
93420-3408
US

V. Phone/Fax

Practice location:
  • Phone: 909-731-2909
  • Fax:
Mailing address:
  • Phone: 909-731-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number698268
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number707631
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: