JAQUELYN LORENZO MACARAEG


Address: 850 S Atlantic Blvd, Suite 305, Monterey Park, CA 91754-4730
Phone: 3105506886

JAQUELYN LORENZO MACARAEG (NPI# 1326380643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326380643
Entity Type Individual
Full Name JAQUELYN LORENZO MACARAEG
Credential NP
Practice Address 850 S Atlantic Blvd
Suite 305
Monterey Park
CA 91754-4730
Mailing Address 2080 Century Park E
Suite 501
Los Angeles
CA 90067-2001
Practice Telephone 3105506886
Mailing Telephone 3105506886
Mailing Fax Number 3105506875
Enumeration Date 2013-03-25
Last Update Date 2013-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 22205 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
22205 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 850 S ATLANTIC BLVD
SUITE 305
City MONTEREY PARK
State CA
Zip Code 91754-4730

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1841503570 Donald J Portocarrero Internal Medicine 850 S Atlantic Blvd, Suit 101, Monterey Park, CA 91754-4730 2010-07-22
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NPI Name Taxonomy Address Enumeration
1023670734 New Hope Medical Center Acupuncturist 939 S Atlantic Blvd, Suit 107, Monterey Park, CA 91754 2019-07-02
1326574302 Jo Ann Dorothy I Chiropractor 257 W. Pomona Blvd, Monterey Park, CA 91754 2017-05-11
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1740597574 Stephen Wesley Pope Contractor 3800 Concours, Suite 350, Ontario, CA 91754 2010-08-31
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1609027770 Cali Ho Occupational Therapist 600 N. Garfield Ave., Monterey Park, CA 91754 2008-10-07
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City MONTEREY PARK
Zip Code 91754

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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