DIANNE BRIGETTE LLORICO (NPI# 1619482098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619482098 |
Entity Type | Individual |
Full Name | DIANNE BRIGETTE LLORICO |
Other Name | DIANNE NOVIN |
Credential | NP |
Practice Address |
5525 Etiwanda Ave Ste 211 Tarzana CA 91356-6136 |
Mailing Address |
14270 Dickens St Apt 10 Sherman Oaks CA 91423-4196 |
Practice Telephone | 8187571212 |
Practice Fax Number | 8187571311 |
Mailing Telephone | 6614879113 |
Enumeration Date | 2017-12-07 |
Last Update Date | 2017-12-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95008038 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NURSE PRACTITIONER FURNISHING NUMBER | 95008038 | 01 |
Street Address |
5525 ETIWANDA AVE STE 211 |
City | TARZANA |
State | CA |
Zip Code | 91356-6136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043579303 | Aaron Joshua Feinstein | Otolaryngology | 5525 Etiwanda Ave Ste 211, Tarzana, CA 91356 | 2012-05-08 |
1326598723 | Medical Valley Partners, Inc | Physician Assistant | 5525 Etiwanda Ave Ste 211, Tarzana, CA 91356-6136 | 2016-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
Find all providers in zip 91356 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881212066 | Hilda Araceli Fujimoto | Nurse Practitioner | 18370 Burbank Blvd Ste 204, Tarzana, CA 91356-2851 | 2020-07-14 |
1821525262 | Krystian Jones | Nurse Practitioner | 18347 Collins St Apt 13, Tarzana, CA 91356-2429 | 2017-05-16 |
1073047874 | Ekaterina Dokukina | Nurse Practitioner | 18607 Ventura Blvd Ste 204, Tarzana, CA 91356-4173 | 2017-04-18 |
1881131928 | Firouzeh Levihaim | Nurse Practitioner | 6127 Corbin Ave, Tarzana, CA 91356-1010 | 2017-01-27 |
1144650631 | Samira Javaherifar | Nurse Practitioner | 5517 Vanalden Ave, Tarzana, CA 91356-3109 | 2013-11-19 |
1427337559 | Roxanne Miles Wilson | Nurse Practitioner | 5140 Yolanda Ave, Tarzana, CA 91356-4027 | 2011-08-07 |
1184619728 | Aaron J Strehlow | Nurse Practitioner | 19353 Victory Blvd, Tarzana, CA 91335-6302 | 2005-09-20 |
1346840881 | Helen Cordova | Nurse Practitioner | 18607 Ventura Blvd Ste 102, Tarzana, CA 91356-6804 | 2020-10-26 |
1922614056 | Tracey Horn | Nurse Practitioner | 18321 Clark St, Tarzana, CA 91356-3501 | 2020-09-23 |
1669082095 | Shannon Lauren Liauw | Nurse Practitioner | 19353 Victory Blvd, Tarzana, CA 91335-6302 | 2020-07-31 |
Find all providers in TARZANA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.