Provider Demographics
NPI:1497135743
Name:ANDINO, KARLA PATRICIA (LVN)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:PATRICIA
Last Name:ANDINO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9324 BIRCHBARK AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2824
Mailing Address - Country:US
Mailing Address - Phone:213-327-7923
Mailing Address - Fax:
Practice Address - Street 1:9324 BIRCHBARK AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2824
Practice Address - Country:US
Practice Address - Phone:213-327-7923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA288751164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse