Healthcare Provider Details

I. General information

NPI: 1477476117
Provider Name (Legal Business Name): CSA NURSING CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WEST TOWN AND COUNTRY ROAD STE 1250 -7425
ORANGE CA
92868
US

IV. Provider business mailing address

1100 WEST TOWN AND COUNTRY ROAD STE 1250 -7425
ORANGE CA
92868
US

V. Phone/Fax

Practice location:
  • Phone: 714-307-2632
  • Fax:
Mailing address:
  • Phone: 714-307-2632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: DIANA LYN LLORICO
Title or Position: OWNER
Credential: NP
Phone: 714-307-2632