SANTA ROSA FAMILY CARE CENTER, A NURSING CORPORATION - NPI 1083836274

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Santa Rosa Family Care Center, A Nursing Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA ROSA FAMILY CARE CENTER, A NURSING CORPORATION (NPI 1083836274), doing business as Tso Health A Nursing Corporation, is a healthcare organization registered as a family in Los Angeles, California and active in the NPI registry since May 2007. The organization lists Teresa Sifuentes Ortiz, Ceo, Cfo, Secretary, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1083836274

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSANTA ROSA FAMILY CARE CENTER, A NURSING CORPORATION

Location Address5015 WHITTIER BLVDLos Angeles, CA 90022-3116

Mailing Address5015 Whittier BlvdLos Angeles, CA 90022-3116 · (323) 981-2930 · Fax (323) 981-2035

Phone(323) 981-2930

Fax(323) 981-2035

Organization SubpartNo

Authorized OfficialTeresa Sifuentes OrtizCeo, Cfo, Secretary · (323) 981-2930

Enumeration DateMay 3, 2007

Last NPPES UpdateOctober 11, 2007

✔ NPI 1083836274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP7205

5015 WHITTIER BLVD, Los Angeles, CA 90022

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Other Names 1

Former Legal Business NameTso Health A Nursing Corporation

Other Identifiers 1

MedicaidGNP000150CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP