Provider Demographics
NPI:1104672393
Name:RIGGS, LOURDES ARENAS (MBA MSN RNFA CNOR BS)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:ARENAS
Last Name:RIGGS
Suffix:
Gender:F
Credentials:MBA MSN RNFA CNOR BS
Other - Prefix:MRS
Other - First Name:MALOU
Other - Middle Name:ARENAS
Other - Last Name:RIGGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBA MSN RNFA CNOR BS
Mailing Address - Street 1:1043 HUDSON DRIVE
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782
Mailing Address - Country:US
Mailing Address - Phone:949-232-9300
Mailing Address - Fax:
Practice Address - Street 1:101 THE CITY DRIVE
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:714-456-7890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA467263163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant