Provider Demographics
NPI:1144610593
Name:PADDIT, LUZVIMINDA (PTA)
Entity Type:Individual
Prefix:
First Name:LUZVIMINDA
Middle Name:
Last Name:PADDIT
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9480 WATER FALL LN
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-4197
Mailing Address - Country:US
Mailing Address - Phone:818-640-1861
Mailing Address - Fax:
Practice Address - Street 1:9480 WATER FALL LN
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-4197
Practice Address - Country:US
Practice Address - Phone:818-640-1861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8908314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility