Jacqueline Gonzaga in Pasadena - Rehabilitation Practitioner

Jacqueline Gonzaga - NPI 1447376553

Jacqueline Gonzaga is a Rehabilitation Practitioner in Pasadena, California. Jacqueline Gonzaga practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Jacqueline Gonzaga is 1447376553. The last update date is 2007-07-08.

Jacqueline Gonzaga's current location address is 1855 N Fair Oaks Ave, Pasadena, California. You can contact this provider via phone number 6262967710 and fax number 6262967714. The mailing address for Jacqueline Gonzaga is 1855 N Fair Oaks Ave, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline Gonzaga
Address 1855 N Fair Oaks Ave, Pasadena, California
Phone Number 6262967710
Fax Number 6262967714
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1447376553
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1855 N Fair Oaks Ave
City Pasadena
State California (CA)
Post Code 911031620
Phone Number 6262967710
Fax Number 6262967714

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
225400000X CA MHW

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FAQs about Jacqueline Gonzaga

What is the unique 10-digit identification code issued to Jacqueline Gonzaga by the Centers for Medicare & Medicaid Services?

The Jacqueline Gonzaga has been assigned the NPI (National Provider Identifier) 1447376553 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jacqueline Gonzaga's facilities are situated?

The facilities of Jacqueline Gonzaga are physically located at the following address: 1855 N Fair Oaks Ave, Pasadena, CA, 911031620.

What is Jacqueline Gonzaga's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jacqueline Gonzaga's specialized field of practice is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 225400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447376553 to Jacqueline Gonzaga?

The Jacqueline Gonzaga received its 1447376553 assignment from the Centers for Medicare & Medicaid Services on 2007-03-21.

When was the information related to Jacqueline Gonzaga most recently updated or refreshed?

The details pertaining to the Jacqueline Gonzaga, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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