DIANNE BRIGETTE LLORICO


Address: 5525 Etiwanda Ave Ste 211, Tarzana, CA 91356-6136
Phone: 8187571212

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95008038 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NURSE PRACTITIONER FURNISHING NUMBER 95008038 01

Office Location

Street Address 5525 ETIWANDA AVE STE 211
City TARZANA
State CA
Zip Code 91356-6136

Providers in the same location

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

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City TARZANA
Zip Code 91356

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Dataset Information

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.

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