Physician Compare National (NPI:1306926423)

HEALTHCARE PROVIDER: EVELYNE N. LLORENTE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306926423
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840223723
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050912000911
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LLORENTE
	Individual professional last name
Provider First Name	EVELYNE
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	GERIATRIC MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	PAIN MANAGEMENT
	Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE, GERIATRIC MEDICINE, PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	11180 WARNER AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 257
	Group Practice or individual's line 2 address
City	FOUNTAIN VALLEY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	927087516
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7148858980
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050224
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOAG MEMORIAL HOSPITAL PRESBYTERIAN
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y