Individual
MISS DIVA CHRISTY LUGATIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1800 VINE ST STE 221, LOS ANGELES, CA 90028-5250
(213) 943-2490
Mailing address
437 S EMPIRE ST, ANAHEIM, CA 92804-2430
(714) 309-3403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
757605
CA
363LF0000X
Family Nurse Practitioner
Primary
757605
CA
Other
Enumeration date
06/11/2019
Last updated
02/05/2025
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