Healthcare Provider Details

I. General information

NPI: 1720934698
Provider Name (Legal Business Name): VEIN VIXENS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30375 SUMMERSIDE ST
MURRIETA CA
92563-6807
US

IV. Provider business mailing address

40477 MURRIETA HOT SPRINGS RD SUITE D-1, #1004
MURRIETA CA
92563
US

V. Phone/Fax

Practice location:
  • Phone: 951-440-7001
  • Fax:
Mailing address:
  • Phone: 951-440-7001
  • Fax: 951-440-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANICE LYNN CORBO
Title or Position: LVN/OWNER
Credential: LVN
Phone: 951-440-7001