Provider Demographics
NPI:1013787118
Name:LIMLENGCO, THERESA A (NP)
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:A
Last Name:LIMLENGCO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 E KATELLA AVE STE 226
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-4803
Mailing Address - Country:US
Mailing Address - Phone:760-933-0031
Mailing Address - Fax:
Practice Address - Street 1:438 E KATELLA AVE STE 226
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-4803
Practice Address - Country:US
Practice Address - Phone:760-933-0031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95036161363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care