Provider Demographics
NPI:1588050108
Name:TRIAS, AURORA LUCIANO (CPNP, RN)
Entity type:Individual
Prefix:
First Name:AURORA
Middle Name:LUCIANO
Last Name:TRIAS
Suffix:
Gender:F
Credentials:CPNP, RN
Other - Prefix:
Other - First Name:AURORA
Other - Middle Name:RONQUILLO
Other - Last Name:LUCIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP, RN
Mailing Address - Street 1:2250 W WHITTIER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3470
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2250 W WHITTIER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3470
Practice Address - Country:US
Practice Address - Phone:562-690-4075
Practice Address - Fax:562-690-4185
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center