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
Fax: (626) 254-0079
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922058718 NPPES
California MEDICAID 00A792020

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