Provider Demographics
NPI:1205119617
Name:NAJERA, EVACEL
Entity type:Individual
Prefix:
First Name:EVACEL
Middle Name:
Last Name:NAJERA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:EVACEL
Other - Middle Name:
Other - Last Name:ORTUNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31882 CAMINO CAPISTRANO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3222
Mailing Address - Country:US
Mailing Address - Phone:949-487-6080
Mailing Address - Fax:
Practice Address - Street 1:31882 CAMINO CAPISTRANO
Practice Address - Street 2:108
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-3222
Practice Address - Country:US
Practice Address - Phone:949-487-6080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical