Provider Demographics
NPI:1295520526
Name:REED, JALEESA (CNA/HHA,PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:JALEESA
Middle Name:
Last Name:REED
Suffix:
Gender:
Credentials:CNA/HHA,PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21900 BURBANK BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7418
Mailing Address - Country:US
Mailing Address - Phone:818-473-7252
Mailing Address - Fax:818-473-7253
Practice Address - Street 1:21900 BURBANK BLVD STE 300
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-7418
Practice Address - Country:US
Practice Address - Phone:818-473-7252
Practice Address - Fax:818-473-7253
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00196694374U00000X
CA00646170376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide