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

Stephanie Vidales

Individual provider Licensed Vocational Nurse · NPI 1073386363

Stephanie Vidales is a Licensed Vocational Nurse in Lake View Terrace, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Phone: (818) 686-3000
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 707081 (CA)

Record details

NPI number1073386363
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 30, 2023
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

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