Provider Demographics
NPI:1013730787
Name:TOSTADO, LOUISA (PA-C)
Entity type:Individual
Prefix:
First Name:LOUISA
Middle Name:
Last Name:TOSTADO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-1703
Mailing Address - Country:US
Mailing Address - Phone:818-660-3572
Mailing Address - Fax:
Practice Address - Street 1:23803 MCBEAN PKWY
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4462
Practice Address - Country:US
Practice Address - Phone:661-481-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-01
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant