Individual
LORNA REGINA SANTIAGO SURATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4650 W SUNSET BLVD # 82, LOS ANGELES, CA 90027-6062
(307) 259-2173
Mailing address
302 N MADISON AVE, MONROVIA, CA 91016-1516
(307) 259-2173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95038191
CA
363L00000X
Nurse Practitioner
Primary
95018578
CA
Other
Enumeration date
11/06/2020
Last updated
05/09/2026
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