MEDICARE: JANETH ORNELAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ASW133994	CA
2	103K00000X	Behavior Analyst
3	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1346892254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANETH ORNELAS

Provider Business Mailing Address
First Line	:	8025 VISTA DEL ROSA ST
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-2146
Country	:	US
Telephone Number	:	323-213-5185
Fax Number	:

Provider Business Practice Location Address
First Line	:	679 S NEW HAMPSHIRE AVE FL 4
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1355
Country	:	US
Telephone Number	:	213-639-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2019
Last Update Date	:	12/31/2025

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Directions to “ JANETH ORNELAS ” Practice Location

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