MISS LISSA YIBELL PORTILLO LVN
NPI 1740054238
Licensed Vocational Nurse in Lancaster, CA

Active since November 14, 2023
4702 JEWEL DR, LANCASTER, CA 93536(818) 967-9187 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Lissa Yibell Portillo Lvn NPPES

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

MISS LISSA YIBELL PORTILLO LVN (NPI 1740054238) is an individual licensed vocational nurse in Lancaster, California, licensed in California (724492) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1740054238
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMISS LISSA YIBELL PORTILLOCredential: LVN
Location Address4702 JEWEL DRLancaster, CA 93536-4111
Mailing Address4702 Jewel DrLancaster, CA 93536-4111 · (818) 967-9187
Sole ProprietorYes
Enumeration DateNovember 14, 2023
NPPES CertifiedNovember 14, 2023
NPI 1740054238 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 · 724492
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.

4702 JEWEL DR, Lancaster, CA 93536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740054238, enumerated as an "individual" on November 14, 2023.

The provider is located at 4702 JEWEL DR LANCASTER, CA 93536 and the phone number is (818) 967-9187.

Licensed Vocational Nurse with taxonomy code 164X00000X.