Individual
LESLIE ANN VALLEJO JABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
(323) 409-1000
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
(323) 409-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95033570
CA
Other
Enumeration date
01/15/2025
Last updated
07/18/2026
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