Healthcare Provider Details

I. General information

NPI: 1144304569
Provider Name (Legal Business Name): NORINA LORA NILLAS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 S HARBOR BLVD 250
SANTA ANA CA
92704-6824
US

IV. Provider business mailing address

3609 STARLING WAY
BREA CA
92823-1050
US

V. Phone/Fax

Practice location:
  • Phone: 714-619-8777
  • Fax: 714-619-8770
Mailing address:
  • Phone: 562-421-8799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN000825
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number10460
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN46531
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number543592
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: