DR. JENNY MARIELLA JAQUE M.D. NPI 1225206493

NPI Information

NPI: 1225206493
Provider Name: DR. JENNY MARIELLA JAQUE, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
1200 N STATE ST
LOS ANGELES, CA
ZIP 90033
Phone: (323) 226-2622
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DR. Jenny Mariella Jaque, M.D. is a gynecology obstetrics gynecology in Los Angeles, CA. DR. Jenny Mariella Jaque, M.D. NPI is 1225206493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 N STATE ST
LOS ANGELES, CA
ZIP 90033-029
Phone: (323) 226-2622

The NPI 1225206493 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 11/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	A96288	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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