Healthcare Provider Details

I. General information

NPI: 1730970724
Provider Name (Legal Business Name): JENNIFER ORTIZ- JARQUIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 MONTEREY SALINAS HWY
SALINAS CA
93908-8820
US

IV. Provider business mailing address

802 SHERMAN CT
MARINA CA
93933-5041
US

V. Phone/Fax

Practice location:
  • Phone: 831-293-4492
  • Fax:
Mailing address:
  • Phone: 831-760-0741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2279E1000X
TaxonomyEducational Registered Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: