Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | 17557 | CA |
NPI | 1083805980 |
---|---|
Provider Name | Ms. Anne-Lorrane Alapan Ugalde |
First Address | Torrance, CA 90502-2059 |
Second Address | Torrance, CA 90502-2059 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 28/08/2019 |