Provider Demographics
NPI:1619688207
Name:RESENDIZ, ALDO TORRES (LVN)
Entity Type:Individual
Prefix:
First Name:ALDO
Middle Name:TORRES
Last Name:RESENDIZ
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 S LA CADENA DR
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3803
Mailing Address - Country:US
Mailing Address - Phone:909-200-0829
Mailing Address - Fax:
Practice Address - Street 1:2851 S LA CADENA DR
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3803
Practice Address - Country:US
Practice Address - Phone:909-200-0829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA268226164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse