Provider Demographics
NPI:1518094143
Name:O'HARA, JANINE CLAIRE (RN)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:CLAIRE
Last Name:O'HARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANINE
Other - Middle Name:CLAIRE
Other - Last Name:O'HARA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2525 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1765
Mailing Address - Country:US
Mailing Address - Phone:562-570-4250
Mailing Address - Fax:562-570-4099
Practice Address - Street 1:2525 GRAND AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-1765
Practice Address - Country:US
Practice Address - Phone:562-570-4250
Practice Address - Fax:562-570-4099
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480460163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health