Organization
LTID HOLDINGS, LLC
Active
Organization
LTID HOLDINGS, LLC
Active
Other names
LTID HOLDINGS
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE R POWELL RN (MANAGING MEMBER)
(909) 904-9048
Entity
Organization
Contact information
Practice address
13542 SECOND STREET, REHAB ROOM, YUCAIPA, CA 92399-5396
(909) 904-9048
(323) 900-0285
Mailing address
5545 BLUE RIDGE DR, YORBA LINDA, CA 92887-4251
(909) 904-9048
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
—
—
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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