Basic Information
| Provider Information | |||||||||
| NPI: | 1831268028 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EULANO | ||||||||
| FirstName: | NORMA | ||||||||
| MiddleName: | TANCHAUCO | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7412 BOBBYBOYAR AVE | ||||||||
| Address2: | |||||||||
| City: | WEST HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913071452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188322410 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7412 BOBBYBOYAR AVE | ||||||||
| Address2: | |||||||||
| City: | WEST HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913071452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188322410 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2006 | ||||||||
| 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 | 363LP0808X | 161874 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.