Healthcare Provider Details

I. General information

NPI: 1730014721
Provider Name (Legal Business Name): KATHLEEN KAY SIMAN AQUINO BSN, RN, CNOR, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 ATLANTIC AVE
LONG BEACH CA
90806-1701
US

IV. Provider business mailing address

617 E 223RD ST UNIT B
CARSON CA
90745-4031
US

V. Phone/Fax

Practice location:
  • Phone: 562-933-2000
  • Fax:
Mailing address:
  • Phone: 310-502-4107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number95051533
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: