Individual
MRS. JOHANNAH GAIL HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26691 PLAZA STE 235, MISSION VIEJO, CA 92691-6398
(949) 364-9054
Mailing address
21052 BERRY GLN, LAKE FOREST, CA 92630-7231
(949) 364-9054
(949) 364-6171
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95038387
CA
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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