Healthcare Provider Details

I. General information

NPI: 1487519088
Provider Name (Legal Business Name): ROXANA A LLANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 CAMERON ST
VENTURA CA
93001-1425
US

IV. Provider business mailing address

211 BARRY DR
VENTURA CA
93001-1409
US

V. Phone/Fax

Practice location:
  • Phone: 805-641-5165
  • Fax:
Mailing address:
  • Phone: 707-583-4094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: