Magdalena Anzaldo, LVN
Individual provider Active NPI Licensed Vocational Nurse · Santa Fe Springs, CA
NPI 1366968992 · NPPES record last updated Aug 15, 2017
Key facts
- NPI
- 1366968992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 689202 (CA)
- Practice address
- 11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674 - Phone
- (562) 949-8455
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100284 | CA | MD | Marriage & Family Therapist |
| 689202 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 100284 | CA | |
| Licensed Vocational Nurse | 164X00000X | 689202 | CA | Yes |
Addresses
Primary practice location
11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
Mailing address
5330 1/2 Via San Delarro St
East Los Angeles, CA 90022-2157
Phone (626) 315-1921
Other providers in Santa Fe Springs, CA
- Micaela Andrade
- Angeles Vista Medical Supplies
- Yadira Anguiano
- Luisita V Anicete
- Sue Ellen Annis
- Miranda Aryed Aparicio
- Daisy Natalie Apolinar
- Apria Healthcare LLC
- Alissa Megan Apter-Prodger
- Alicia Arambula
All providers in Santa Fe Springs, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.