What is Jackeline Portillo's NPI number?

The NPI number assigned to this healthcare provider is 1013620715, enumerated as a individual on December 28, 2022.

Where is the provider located?

The provider is located at 7515 VAN NUYS BLVD VAN NUYS, CA 91405 and the phone number is (818) 627-3067.

What is the provider's specialty?

The provider's specialty is Licensed Vocational Nurse with taxonomy code 164X00000X.

JACKELINE PORTILLO - NPI 1013620715 - Licensed Vocational Nurse in Van Nuys, CA

On this page

About Jackeline Portillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKELINE PORTILLO (NPI 1013620715) is an individual licensed vocational nurse in Van Nuys, California, licensed in California (700603) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1013620715

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameJACKELINE PORTILLO

Location Address7515 VAN NUYS BLVDVan Nuys, CA 91405-1949

Mailing Address7515 Van Nuys BlvdVan Nuys, CA 91405-1949 · (818) 627-3000

Phone(818) 627-3067

Sole ProprietorNo

Enumeration DateDecember 28, 2022

NPPES CertifiedDecember 28, 2022

✔ NPI 1013620715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 700603

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

7515 VAN NUYS BLVD, Van Nuys, CA 91405

Open in Google Maps ↗