Individual
ECLER ERCOLE JAQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25455 BARTON RD STE 204B, LOMA LINDA, CA 92354-3130
(909) 558-6600
Mailing address
FILE # 54701, LOS ANGELES, CA 90074-4701
(909) 558-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A143997
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A143997
CA
Other
Enumeration date
04/15/2014
Last updated
12/16/2022
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