Provider Demographics
NPI:1710257803
Name:OREGEL, JESSICA NAYELLI (RN)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:NAYELLI
Last Name:OREGEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 W CESAR CHAVEZ AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2185
Mailing Address - Country:US
Mailing Address - Phone:213-217-5300
Mailing Address - Fax:213-217-5996
Practice Address - Street 1:701 W CESAR CHAVEZ AVE STE 201
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2185
Practice Address - Country:US
Practice Address - Phone:213-217-5300
Practice Address - Fax:213-217-5996
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA796713163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management