Provider Demographics
NPI:1235549262
Name:MI FAMILIA NURSING PC
Entity Type:Organization
Organization Name:MI FAMILIA NURSING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:TOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:714-883-0408
Mailing Address - Street 1:1020 S ANAHEIM BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-5851
Mailing Address - Country:US
Mailing Address - Phone:714-883-0408
Mailing Address - Fax:
Practice Address - Street 1:1020 S ANAHEIM BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-5851
Practice Address - Country:US
Practice Address - Phone:714-883-0408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty