Provider Demographics
NPI:1942901913
Name:CENZON, DEBBIE (RN, CNS)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:
Last Name:CENZON
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:BACOLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNS
Mailing Address - Street 1:4842 EL RANCHO VERDE DR
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1423
Mailing Address - Country:US
Mailing Address - Phone:310-748-7496
Mailing Address - Fax:
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2059
Practice Address - Country:US
Practice Address - Phone:424-306-4026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3423364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist