Lucia Loredana Dattoma
Geriatric Medicine
2655 1st St Ste 360
Simi Valley
, California 93065-1581
Lucia Loredana Dattoma
Geriatric Medicine
2655 1st St Ste 360
Simi Valley
, California 93065-1581
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Lucia Loredana Dattoma
- 5767 W Century Blvd Ste 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone :
Second Address
- Lucia Loredana Dattoma
- 2655 1st St Ste 360
- Simi Valley, CA
- Zip : 93065-1581
- Fax : (805) 583-7641
- Phone : (805) 583-7640
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Is Lucia Loredana Dattoma a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | A87809 | CA |
National Provider Identifier
| NPI | 1164628384 |
|---|---|
| Provider Name | Lucia Loredana Dattoma |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Simi Valley, CA 93065-1581 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2007 |
| Last Update Date | 14/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A878090 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.