Provider Demographics
NPI:1578526000
Name:TOLDSA, LOURDES (RN)
Entity Type:Individual
Prefix:MRS
First Name:LOURDES
Middle Name:
Last Name:TOLDSA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:LOURDES
Other - Middle Name:
Other - Last Name:SANTAYANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:13636 1/4 DRONFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342
Mailing Address - Country:US
Mailing Address - Phone:818-364-8815
Mailing Address - Fax:818-364-8815
Practice Address - Street 1:2080 CENTURY PARK E
Practice Address - Street 2:STE 1005
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2013
Practice Address - Country:US
Practice Address - Phone:310-229-3555
Practice Address - Fax:310-229-3554
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA560830163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine