Provider Demographics
| NPI: | 1134400872 |
|---|---|
| Name: | TODD, LISA (RCP) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | LISA |
| Middle Name: | |
| Last Name: | TODD |
| Suffix: | |
| Gender: | F |
| Credentials: | RCP |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 21052 CANTARA ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CANOGA PARK |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 91304-4340 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 818-297-7741 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 21052 CANTARA ST |
| Practice Address - Street 2: | |
| Practice Address - City: | CANOGA PARK |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 91304-4340 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 818-297-7741 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2011-09-08 |
| Last Update Date: | 2011-09-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CA | RCP14348 | 227800000X, 2278C0205X, 2278E0002X, 2278G0305X, 2278H0200X, 2278P3800X, 2278P3900X, 2278S1500X, 2279P4000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | |
| No | 2278C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Critical Care |
| No | 2278E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Emergency Care |
| No | 2278G0305X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Geriatric Care |
| No | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health |
| No | 2278P3800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Palliative/Hospice |
| No | 2278P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Neonatal/Pediatrics |
| No | 2278S1500X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | SNF/Subacute Care |
| No | 2279P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Patient Transport |
