DEANE B. JACQUES, M.D., INC. – NPI #1083917736
Clinic/Center

DEANE B. JACQUES, M.D., INC. is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1083917736 to DEANE B. JACQUES, M.D., INC. on December 17, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEANE B. JACQUES, M.D., INC. below.

NPI Profile for
DEANE B. JACQUES, M.D., INC.

NPI Number
1083917736
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEANE B. JACQUES, M.D., INC.
Primary location
637 LUCAS AVE
STE. 501
LOS ANGELES, CA 90017-1912
Phone: (626) 414-4094 Fax: (626) 804-3344
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEANE JACQUES
PRESIDENT
Phone: (626) 414-4094
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.