JACQUELYN CORRALES
NPI 1669149456
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since August 27, 2021

1963 4TH AVE, SAN DIEGO, CA 92101(619) 233-3432 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2024, Apr 7, 2022, Aug 27, 2021 (3 updates tracked since 2021).

On this page

About Jacquelyn Corrales NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN CORRALES (NPI 1669149456) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1669149456

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJACQUELYN CORRALES

Location Address1963 4TH AVESan Diego, CA 92101-2394

Mailing Address1963 4th AveSan Diego, CA 92101-2394 · (619) 233-3432

Phone(619) 233-3432

Sole ProprietorNo

Enumeration DateAugust 27, 2021

Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration

NPPES CertifiedMarch 4, 2024

✔ NPI 1669149456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1963 4TH AVE, San Diego, CA 92101

Open in Google Maps ↗