Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlene Desulo Tancinco

Individual provider Licensed Vocational Nurse · NPI 1093507907

Charlene Desulo Tancinco is a Licensed Vocational Nurse in Pasadena, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

940 Avenue 64
Pasadena, CA 91105-2711
Phone: (323) 254-2274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 750804 (CA)

Record details

NPI number1093507907
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address940 Avenue 64, Pasadena, CA 91105-2711

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