Healthcare Provider Details

I. General information

NPI: 1205361391
Provider Name (Legal Business Name): JESSICA MICHELLE AGUINALDO CIMOLINO HAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA MICHELLE AGUINALDO HAD

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3353 BEARD RD
NAPA CA
94558-3407
US

IV. Provider business mailing address

3353 BEARD RD
NAPA CA
94558-3407
US

V. Phone/Fax

Practice location:
  • Phone: 707-257-3889
  • Fax: 707-257-2702
Mailing address:
  • Phone: 707-257-3889
  • Fax: 707-257-2702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA 7935
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: