Provider Demographics
NPI:1891300505
Name:TOSCANO, ELITA CHRISTINE (LAC)
Entity Type:Individual
Prefix:
First Name:ELITA
Middle Name:CHRISTINE
Last Name:TOSCANO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ELITA
Other - Middle Name:CHRISTINE
Other - Last Name:MACINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1317 7TH ST APT 407
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-1665
Mailing Address - Country:US
Mailing Address - Phone:310-999-4825
Mailing Address - Fax:
Practice Address - Street 1:1317 7TH ST APT 407
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1665
Practice Address - Country:US
Practice Address - Phone:310-999-4825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7528171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist