Basic Information
| Provider Information | |||||||||
| NPI: | 1710257803 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OREGEL | ||||||||
| FirstName: | JESSICA | ||||||||
| MiddleName: | NAYELLI | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | R.N | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 W CESAR CHAVEZ AVE STE 201 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900122185 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2132175300 | ||||||||
| FaxNumber: | 2132175996 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 W CESAR CHAVEZ AVE STE 201 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900122185 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2132175300 | ||||||||
| FaxNumber: | 2132175996 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2012 | ||||||||
| LastUpdateDate: | 08/19/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0400X | 796713 | CA | Y | Nursing Service Providers | Registered Nurse | Case Management |
No ID Information.