PATRICIA ILUORE NPI 1699378174

NPI Information

NPI: 1699378174
Provider Name: PATRICIA ILUORE
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

CLIA Number: 05D0559182

Address:
5525 ETIWANDA AVE STE 320
TARZANA, CA
ZIP 91356
Phone: (818) 774-3838
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Patricia Iluore is an adult health nurse practitioner in Tarzana, CA. Patricia Iluore NPI is 1699378174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5525 ETIWANDA AVE STE 320
TARZANA, CA
ZIP 91356-130
Phone: (818) 774-3838

The NPI 1699378174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0559182 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/18/2020 and was last updated on 12/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	95015864	CALIFORNIA	No
2	363LG0600X	Nurse Practitioner	Gerontology	95015864	CALIFORNIA	No
3	364SA2200X	Clinical Nurse Specialist	Adult Health	4894	CALIFORNIA	No
4	364SG0600X	Clinical Nurse Specialist	Gerontology	4894	CALIFORNIA	No
5	363LA2200X	Nurse Practitioner	Adult Health	95015864	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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