Healthcare Provider Details

I. General information

NPI: 1295583342
Provider Name (Legal Business Name): MRS. JEREMIE CAYABAN MCFARLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 STUDEBAKER RD
NORWALK CA
90650-2531
US

IV. Provider business mailing address

13100 STUDEBAKER RD
NORWALK CA
90650-2531
US

V. Phone/Fax

Practice location:
  • Phone: 562-868-3751
  • Fax:
Mailing address:
  • Phone: 562-868-3751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95266948
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: