Organization
VASCULAR ACCESS EXPERT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANI DELA NOCHE REGISTERED NURSE (OWNER/CEO)
(714) 558-8038
Entity
Organization
Contact information
Practice address
515 CABRILLO PARK DR, SUITE 120, SANTA ANA, CA 92701-5016
(714) 558-8038
(714) 558-6033
Mailing address
515 CABRILLO PARK DR, SUITE 120, SANTA ANA, CA 92701-5016
(714) 558-8038
(714) 558-6033
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
659713RN/BSN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16455
PROVIDER ID
CA
01
—
659713RN/BSN
REGISTERED NURSE LICENSE NUMBER
CA
Enumeration date
05/06/2015
Last updated
05/06/2015
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