Individual
JOIEMHIL JEMICCA ORIA OCARIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
Mailing address
1142 E 215TH PL, CARSON, CA 90745-1602
(310) 938-9741
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95154412
CA
363L00000X
Nurse Practitioner
Primary
95021249
CA
363LF0000X
Family Nurse Practitioner
95021249
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95021249
CA
363LP2300X
Primary Care Nurse Practitioner
95021249
CA
Other
Enumeration date
10/14/2022
Last updated
07/21/2023
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