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General NPI Number Information
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NPI Number | 1104542877
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Entity Type | Individual
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Provider Name | JOIEMHIL JEMICCA ORIA OCARIZA
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Gender | Female
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 4211 AVALON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90011-5622
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Country | US
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Telephone | 323-233-0425
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Fax |
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Provider Business Mailing Address
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Address Line | 1142 E 215TH PL
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City | CARSON
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State | CA
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Zip | 90745-1602
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Country | US
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Telephone | 310-938-9741
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95154412
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95021249
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95021249
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95021249
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95021249
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License Number State | CA
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