Most Relevant Information
Provider Data
| NPI Number: | 1003374075 |
| Provider Name: | MIA SPINELLI LOFTUS |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | NP95010537 |
Most Important Dates
| Enumeration Date: | 03/07/2019 |
| Last Updated: | 05/20/2022 |
Provider Practice Location
701 E 28TH ST STE 419
LONG BEACH
CA
908062775
Practice Location Phone/Fax
| Phone: | 5624909900 |
| Fax: |
Provider Mailing Location
701 E 28TH ST STE 419
LONG BEACH
CA
908062775
Provider Mailing Phone/Fax
| Phone: | 5624909900 |
| Fax: |