Individual
MRS. LOVELLA C SIM-PARCASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3205 N LAKEWOOD BLVD, LONG BEACH, CA 90808-1733
(562) 570-7119
Mailing address
11334 BERTHA ST, CERRITOS, CA 90703-6531
(562) 865-7906
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
527769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953893470
FEDERAL TAX ID
CA
Enumeration date
08/07/2009
Last updated
03/30/2021
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