Healthcare Provider Details

I. General information

NPI: 1285585687
Provider Name (Legal Business Name): AILEEN CALDEJON JONSON TECHNICIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7365 CARNELIAN ST STE 112
RANCHO CUCAMONGA CA
91730-1156
US

IV. Provider business mailing address

7365 CARNELIAN ST STE 112
RANCHO CUCAMONGA CA
91730-1156
US

V. Phone/Fax

Practice location:
  • Phone: 951-344-5023
  • Fax: 951-346-1281
Mailing address:
  • Phone: 951-344-5023
  • Fax: 951-346-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: