Healthcare Provider Details

I. General information

NPI: 1427971662
Provider Name (Legal Business Name): TULIO ENRIQUE ENAMORADO NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44424 10TH ST W
LANCASTER CA
93534-3325
US

IV. Provider business mailing address

29097 LOTUSGARDEN DR
SANTA CLARITA CA
91387-1839
US

V. Phone/Fax

Practice location:
  • Phone: 661-726-9226
  • Fax: 661-726-9230
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040858
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: