Individual
DR. JAIME O HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
289 W HUNTINGTON DR STE 401, ARCADIA, CA 91007-3493
(626) 254-0074
(626) 254-0079
Mailing address
235 E BADILLO ST, COVINA, CA 91723-2116
(626) 793-2885
(626) 793-6262
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A79202
CA
207RI0011X
Interventional Cardiology Physician
Primary
A79202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A792020
—
CA
Enumeration date
05/11/2006
Last updated
08/19/2025
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