Search › California › 103K00000X
Jacqueline Urquidez, BA
NPI 1063131514 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1515 W 190th St Ste 300
Gardena, CA 90248 - Phone
- (310) 819-4523
- Fax
- (877) 394-6799
- Organisation at this address
- Maxim Healthcare Services, Inc.
Integrated Specialty Medical Associates Ipa, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 105
Additional practice sites
- 15630 Larkspur St, Sylmar, CA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California