Provider Demographics
NPI:1508306424
Name:PINTO, LOLITA
Entity Type:Individual
Prefix:
First Name:LOLITA
Middle Name:
Last Name:PINTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9650 BUSINESS CENTER DR STE 132
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4536
Mailing Address - Country:US
Mailing Address - Phone:909-321-4466
Mailing Address - Fax:909-694-2474
Practice Address - Street 1:9650 BUSINESS CENTER DR STE 132
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4536
Practice Address - Country:US
Practice Address - Phone:909-287-9430
Practice Address - Fax:909-321-4466
Is Sole Proprietor?:No
Enumeration Date:2017-02-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA364700059374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide