JURY OCLARIT RONQUILLO FNP
NPI 1114393022
Registered Nurse - General Practice in Anaheim, CA
Active since August 14, 2015
About Jury Oclarit Ronquillo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JURY OCLARIT RONQUILLO FNP (NPI 1114393022) is an individual general practice provider in Anaheim, California, licensed in California (95002787) and active in the NPI registry since August 2015.
NPPES Registry Identity
NPI1114393022
Entity TypeIndividualMale
Primary Taxonomy163WG0000X
Provider Legal NameJURY OCLARIT RONQUILLOCredential: FNP
Location Address1085 N HARBOR BLVDAnaheim, CA 92801-2417
Mailing Address7077 Monroe AveBuena Park, CA 90620-3823 · (917) 359-0858 · Fax (714) 723-6807
Phone(714) 774-7777
Fax(714) 399-4135
Sole ProprietorYes
Enumeration DateAugust 14, 2015
✔ NPI 1114393022 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
Licenses✔ Licensed in CA · 95002787✔ Licensed in CA · 723534
1085 N HARBOR BLVD, Anaheim, CA 92801
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114393022, enumerated as an "individual" on August 14, 2015.
The provider is located at 1085 N HARBOR BLVD ANAHEIM, CA 92801 and the phone number is (714) 774-7777.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
