Individual provider · Type 1 NPI

Jacqueline Cervantes Avila

Student in an Organized Health Care Education/Training Program · Arcadia, CA

NPI number 1063321172 Active

Practice location

330 E Live Oak Ave
Arcadia, CA 91006-5617

Call (626) 254-1400 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063321172

Jacqueline Cervantes Avila's National Provider Identifier is 1063321172, issued on Sep 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arcadia, CA. The record was last updated on Sep 3, 2026.