Healthcare Provider Details

I. General information

NPI: 1831033414
Provider Name (Legal Business Name): JAMIESE MCCALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38136 35TH ST E
PALMDALE CA
93550-5003
US

IV. Provider business mailing address

43155 SIERRA HWY SPC 1
LANCASTER CA
93534-6033
US

V. Phone/Fax

Practice location:
  • Phone: 661-285-1548
  • Fax:
Mailing address:
  • Phone: 661-492-7633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: