Individual provider · Type 1 NPI

Leslie Ann Vallejo Jabal, ACNPC

Nurse Practitioner · Los Angeles, CA

NPI number 1346051778 Active

Practice location

2051 Marengo St
Los Angeles, CA 90033-1352

Fax (323) 409-1000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95033570 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1346051778

Leslie Ann Vallejo Jabal, ACNPC's National Provider Identifier is 1346051778, issued on Jan 15, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 18, 2026.