Healthcare Provider Details

I. General information

NPI: 1447922380
Provider Name (Legal Business Name): JOFHEL OPIANA AGORRILLA LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOFHEL CLAVERIA OPIANA

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 W VERMONT AVE STE 101
ESCONDIDO CA
92025-6584
US

IV. Provider business mailing address

3819 CARNELIAN CT
PERRIS CA
92570-7291
US

V. Phone/Fax

Practice location:
  • Phone: 760-480-2255
  • Fax: 760-888-8339
Mailing address:
  • Phone: 818-730-8840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number254957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: