1518371517 NPI number — MRS. NANCY JEANNETTE HINOJOSA SOBERANIS CAADE 122220

Table of content: MRS. NANCY JEANNETTE HINOJOSA SOBERANIS CAADE 122220 (NPI 1518371517)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518371517 NPI number — MRS. NANCY JEANNETTE HINOJOSA SOBERANIS CAADE 122220

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HINOJOSA SOBERANIS
Provider First Name:
NANCY
Provider Middle Name:
JEANNETTE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CAADE 122220
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HINOJOSA
Provider Other First Name:
NANCY
Provider Other Middle Name:
JEANNETTE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CAADE 122220
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1518371517
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11500 PARAMOUNT BLVD
Provider Second Line Business Mailing Address:
LIVING WITH HOPE RESOURCE CENTER
Provider Business Mailing Address City Name:
DOWNEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90241-4530
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-923-4545
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11500 PARAMOUNT BLVD
Provider Second Line Business Practice Location Address:
LIVING WITH HOPE RESOURCE CENTER
Provider Business Practice Location Address City Name:
DOWNEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-923-4545
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  122220 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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