Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Mirella Banuelos

Individual provider Rehabilitation Practitioner · NPI 1205189578

Jessica Mirella Banuelos is a Rehabilitation Practitioner in Hawaiian Gardens, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

21520 Pioneer Blvd Ste 101
Hawaiian Gardens, CA 90716-2603
Phone: (562) 246-5700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1205189578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 23, 2012
Last updated in NPPESOctober 23, 2012

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