Jacquez, Jesse J.

Jacquez, Jesse J. is an individual health care provider with primary practice located at 895 W Valley Blvd , Colton CA 92324-2001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Jacquez, Jesse J. can be contacted via phone (909) 824-3389.

Contact Information

Primary practice address
895 W Valley Blvd Colton CA 92324-2001
Phone: (909) 824-3389
Fax: (909) 824-1087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10031 California

Profile Details

NPI number 1285644294
LBN Legal business name Jacquez, Jesse J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 15th, 2023 - about 2 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 1285644294 NPPES
California MEDICAID 1659483352
California MEDICAID GR0071450

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