Individual
LIANA SIMONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4053 LONE TREE WAY STE 201, ANTIOCH, CA 94531-6210
(925) 776-7725
(510) 506-7727
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(925) 776-7725
(510) 506-7728
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95011758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95011758
STATE MEDICAL LICENSE
CA
Enumeration date
05/19/2019
Last updated
06/26/2020
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