Individual provider · NPI-1

Aurora Luciano Trias, CPNP, RN

Clinic/Center · La Habra, CA

NPI number1588050108
StatusActive
Last updated in NPPESApr 9, 2015

Details

NPI
1588050108
Entity type
Individual (NPI-1)
Name
Aurora Luciano Trias
Credential
CPNP, RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 9, 2015
Last updated
Apr 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Aurora Ronquillo Luciano (Former Name)

Practice location

2250 W Whittier Blvd Ste 100
La Habra, CA 90631-3470

Phone 562-690-4075 · Fax 562-690-4185

Mailing address

2250 W Whittier Blvd Ste 100
La Habra, CA 90631-3470

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