Healthcare Provider Details

I. General information

NPI: 1578526000
Provider Name (Legal Business Name): LOURDES TOLDSA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: LOURDES SANTAYANA RN

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 CENTURY PARK E STE 1005
LOS ANGELES CA
90067-2013
US

IV. Provider business mailing address

13636 1/4 DRONFIELD AVE
SYLMAR CA
91342
US

V. Phone/Fax

Practice location:
  • Phone: 310-229-3555
  • Fax: 310-229-3554
Mailing address:
  • Phone: 818-364-8815
  • Fax: 818-364-8815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number560830
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: