# JUBILEE TIME HEALTH CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063323871
- **Authorized official:** VIVIENNE AYOMANOR AYOMANOR DNP, PMHNP-BC, FNP-C (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (562) 396-1831

## Contact information

- **Practice address:** 14023 CRENSHAW BLVD STE 10, HAWTHORNE, CA 90250-9255
- **Practice address phone:** (562) 396-1831
- **Practice address fax:** (310) 758-5730
- **Mailing address:** 14023 CRENSHAW BLVD STE 10, HAWTHORNE, CA 90250-9255
- **Mailing address phone:** (562) 396-1831
- **Mailing address fax:** (310) 758-5730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2026
- **Last updated:** 09/14/2026