Healthcare Provider Details

I. General information

NPI: 1124947684
Provider Name (Legal Business Name): PAMELA ALEJANDRA LOERA MSN, RN, PHN, CWOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 THE CITY DR S BLDG 53
ORANGE CA
92868-3201
US

IV. Provider business mailing address

13203 ARREY AVE
NORWALK CA
90650-3326
US

V. Phone/Fax

Practice location:
  • Phone: 310-985-3158
  • Fax:
Mailing address:
  • Phone: 310-985-3158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number756658
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: