Basic Information
| Provider Information | |||||||||
| NPI: | 1184847105 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOYA | ||||||||
| FirstName: | GLENDA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | RNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1910 W SUNSET BL | ||||||||
| Address2: | STE 650 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900263201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2134841186 | ||||||||
| FaxNumber: | 2134133443 | ||||||||
| Practice Location | |||||||||
| Address1: | 10953 RAMONA BLVD | ||||||||
| Address2: | RM 116 | ||||||||
| City: | EL MONTE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 917312629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6264508848 | ||||||||
| FaxNumber: | 6263504495 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | RN382832 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.