Jesse Henriquez, CATC

NPI 1295948651 · on the registry since 2007

Practice

Address: 672 S La Fayette Park Pl
#6
Los Angeles, CA 90057
Phone: (213) 381-3626
Organisation at this address: Renewal
Fotc-Los Angeles
Miso Oriental Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-08-25
Status: Not present in the most recent federal file

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