Ecler Ercole Jaqua
Family Doctor Geriatric Medicine
25455 Barton Rd Ste 204b
Loma Linda
, California 92354-3130
Ecler Ercole Jaqua
Family Doctor Geriatric Medicine
25455 Barton Rd Ste 204b
Loma Linda
, California 92354-3130
(909) 558-6600
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About
Features
Specialties
- Family Doctor
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Ecler Ercole Jaqua
- File # 54701
- Los Angeles, CA
- Zip : 90074-4701
- Phone : (909) 558-6600
Second Address
- Ecler Ercole Jaqua
- 25455 Barton Rd Ste 204b
- Loma Linda, CA
- Zip : 92354-3130
- Phone : (909) 558-6600
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FAQs
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What type of doctor is Ecler Ercole Jaqua
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Where is Ecler Ercole Jaqua ’s practice located?
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Is Ecler Ercole Jaqua a sole practitioner?
Is Ecler Ercole Jaqua accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | A143997 | CA |
| Y | 207RG0300X | Geriatric Medicine | A143997 | CA |
National Provider Identifier
| NPI | 1003235235 |
|---|---|
| Provider Name | Ecler Ercole Jaqua |
| First Address | Los Angeles, CA 90074-4701 |
| Second Address | Loma Linda, CA 92354-3130 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2014 |
| Last Update Date | 26/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.