Provider Demographics
NPI:1225272974
Name:JAMES, ELVIRA LYDIA (NURSE)
Entity Type:Individual
Prefix:MRS
First Name:ELVIRA
Middle Name:LYDIA
Last Name:JAMES
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 MIDDLETON PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90062-1037
Mailing Address - Country:US
Mailing Address - Phone:323-293-7445
Mailing Address - Fax:323-293-7545
Practice Address - Street 1:1848 MIDDLETON PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90062-1037
Practice Address - Country:US
Practice Address - Phone:323-293-7545
Practice Address - Fax:323-293-7545
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-25
Last Update Date:2009-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN146416164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse