Koudrina, Lioudmila

Koudrina, Lioudmila is an individual health care provider with primary practice located at 3130 S Harbor Blvd Ste 250, Santa Ana CA 92704-6824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koudrina, Lioudmila can be contacted via phone (714) 619-8777.

Contact Information

Primary practice address
3130 S Harbor Blvd Ste 250 Santa Ana CA 92704-6824
Phone: (714) 619-8777
Fax: (714) 619-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12468 California

Profile Details

NPI number 1538296686
LBN Legal business name Koudrina, Lioudmila
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538296686 NPPES
California Other 12468 NP LICENSE

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