=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477476117
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CSA NURSING CARE SERVICES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2026
-----------------------------------------------------
Last Update Date | 07/31/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1100 WEST TOWN AND COUNTRY ROAD STE 1250 -7425
-----------------------------------------------------
City | ORANGE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92868
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-307-2632
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1100 WEST TOWN AND COUNTRY ROAD STE 1250 -7425
-----------------------------------------------------
City | ORANGE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92868
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-307-2632
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DIANA LYN LLORICO
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 714-307-2632
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------