Healthcare Provider Details

I. General information

NPI: 1821796244
Provider Name (Legal Business Name): FIRST ASSISTANT NURSES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26651 LAS TUNAS DR
MISSION VIEJO CA
92692-3934
US

IV. Provider business mailing address

26651 LAS TUNAS DR
MISSION VIEJO CA
92692-3934
US

V. Phone/Fax

Practice location:
  • Phone: 949-395-6661
  • Fax: 949-383-4808
Mailing address:
  • Phone: 949-395-6661
  • Fax: 949-383-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State

VIII. Authorized Official

Name: LESLIE A JANSEN
Title or Position: RNFA
Credential: RN
Phone: 949-395-6661