Healthcare Provider Details

I. General information

NPI: 1689380347
Provider Name (Legal Business Name): NINA FRANCO LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 E 120TH ST
LOS ANGELES CA
90059-3026
US

IV. Provider business mailing address

1810 E ABILA ST
CARSON CA
90745-2517
US

V. Phone/Fax

Practice location:
  • Phone: 424-338-1230
  • Fax: 310-223-5962
Mailing address:
  • Phone: 310-972-8092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number278293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: