Henriquez, Jaime O
Henriquez, Jaime O is an individual health care provider with primary practice located at 289 W Huntington Dr Ste 401 , Arcadia CA 91007-3493. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Henriquez, Jaime O can be contacted via phone (626) 254-0074.Contact Information
Primary practice address
289 W Huntington Dr Ste 401
Arcadia CA 91007-3493
Phone: (626) 254-0074
Fax: (626) 254-0079
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A79202 | California |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | A79202 | California |
Profile Details
NPI number | 1922058718 |
---|---|
LBN Legal business name | Henriquez, Jaime O |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Feb 25th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922058718 | NPPES |
California | MEDICAID | 00A792020 |
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