Basic Information
| Provider Information | |||||||||
| NPI: | 1295117315 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCIA ARTIGA | ||||||||
| FirstName: | LUIS | ||||||||
| MiddleName: | ERNESTO | ||||||||
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| Credential: | LVN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 N CENTRAL AVE SUITE 250 | ||||||||
| Address2: | |||||||||
| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8185398359 | ||||||||
| FaxNumber: | 8552458903 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 N CENTRAL AVE SUITE 250 | ||||||||
| Address2: | |||||||||
| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8185398359 | ||||||||
| FaxNumber: | 8552458903 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2015 | ||||||||
| LastUpdateDate: | 06/25/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | VN 288387 | CA | Y | Nursing Service Providers | Licensed Vocational Nurse |
No ID Information.