Healthcare Provider Details

I. General information

NPI: 1356342141
Provider Name (Legal Business Name): FE LEILANI GARCIA OQUINDO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23763 VALENCIA BLVD.
VALENCIA CA
91355
US

IV. Provider business mailing address

1172 N. MACLAY AVE.
SAN FERNANDO CA
91340
US

V. Phone/Fax

Practice location:
  • Phone: 661-287-1551
  • Fax: 661-255-8037
Mailing address:
  • Phone: 818-898-1388
  • Fax: 818-365-4031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number8397
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: