Healthcare Provider Details

I. General information

NPI: 1285226829
Provider Name (Legal Business Name): YESENIA K NAVARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date: 07/15/2022
Reactivation Date: 09/26/2023

III. Provider practice location address

21000 PLUMMER ST
CHATSWORTH CA
91311-4903
US

IV. Provider business mailing address

1000 W ROBERT AVE
OXNARD CA
93030-4117
US

V. Phone/Fax

Practice location:
  • Phone: 818-882-6400
  • Fax:
Mailing address:
  • Phone: 805-883-8140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: