Provider Demographics
NPI:1699890228
Name:HUH, MARIA CONSUELO TORRES (CRNA)
Entity type:Individual
Prefix:
First Name:MARIA CONSUELO
Middle Name:TORRES
Last Name:HUH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:MARIA CONSUELO
Other - Middle Name:PADLAN
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:14445 OLIVE VIEW DR RM 3A113
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1437
Mailing Address - Country:US
Mailing Address - Phone:818-364-4350
Mailing Address - Fax:
Practice Address - Street 1:14445 OLIVE VIEW DR RM 3A113
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1437
Practice Address - Country:US
Practice Address - Phone:818-364-4350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA399340163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse