Provider Demographics
NPI:1700698131
Name:SMITH, PAULINE ANN TORIO (NP)
Entity type:Individual
Prefix:MRS
First Name:PAULINE ANN
Middle Name:TORIO
Last Name:SMITH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:PAULINE ANN
Other - Middle Name:CAOILI
Other - Last Name:TORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:717 W OLYMPIC BLVD APT 1104
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-1674
Mailing Address - Country:US
Mailing Address - Phone:323-302-1492
Mailing Address - Fax:
Practice Address - Street 1:2051 MARENGO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1352
Practice Address - Country:US
Practice Address - Phone:323-409-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95088426163WC0200X
CA95030991363LC0200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine