Healthcare Provider Details

I. General information

NPI: 1649041286
Provider Name (Legal Business Name): LA ORANA VENTURES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 S ORANGE AVE
EL CAJON CA
92020-7522
US

IV. Provider business mailing address

PO BOX 212874
CHULA VISTA CA
91921-2874
US

V. Phone/Fax

Practice location:
  • Phone: 951-392-0827
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM JENKINS
Title or Position: OWNER
Credential: NHA
Phone: 951-392-0827