Provider Demographics
NPI:1851771406
Name:TOSCANO, CHRISTIAN AMANDA (LM, CPM)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTIAN
Middle Name:AMANDA
Last Name:TOSCANO
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5812 N FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-4228
Mailing Address - Country:US
Mailing Address - Phone:323-218-0961
Mailing Address - Fax:323-795-2666
Practice Address - Street 1:5812 N FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-4228
Practice Address - Country:US
Practice Address - Phone:323-218-0961
Practice Address - Fax:323-795-2666
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM492176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife