Provider Demographics
NPI:1356233910
Name:SIMPLYCARE PROFESSIONAL NURSING CORP
Entity type:Organization
Organization Name:SIMPLYCARE PROFESSIONAL NURSING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:XIANGYING
Authorized Official - Middle Name:
Authorized Official - Last Name:LUO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:949-304-8759
Mailing Address - Street 1:101 DOVERWOOD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-2175
Mailing Address - Country:US
Mailing Address - Phone:949-304-8759
Mailing Address - Fax:949-603-3681
Practice Address - Street 1:1076 E 1ST ST STE A
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3852
Practice Address - Country:US
Practice Address - Phone:949-304-8759
Practice Address - Fax:949-603-3681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty