Healthcare Provider Details

I. General information

NPI: 1528901444
Provider Name (Legal Business Name): SOPHIA ALMEJO LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19900 NATIONAL TRAILS HWY
ORO GRANDE CA
92368
US

IV. Provider business mailing address

19900 NATIONAL TRAILS HWY
ORO GRANDE CA
92368
US

V. Phone/Fax

Practice location:
  • Phone: 760-243-5884
  • Fax: 760-513-9770
Mailing address:
  • Phone: 760-243-5884
  • Fax: 760-513-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number704309
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: