Doctor Name: | VERONICA MONTENEGRO-JAUREGUI |
NPI Number: | 1336316025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICIAN ASSISTANT |
License Number: | PA19686 |
Business Practice Address: | 495 E Birch St Ste A Suite 1 Calexico, CA - 922312374 |
Business Phone Number: | 7603570508 |
Business Fax Number: | 7603379199 |
Mailing Address: | 2668 Heil Circle, EL CENTRO |
State: | CA |
Postal Code: | 92243 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/12/2008 |
NPI Last Update Date: | 01/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA19686 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |