Jacqueline Surrency LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JACQUELINE SURRENCY LLC

Practice address

10131 Memphis Ave
Whittier, CA 90603-2024

Phone

(562) 305-9222

NPI assigned

Jun 6, 2014

Last updated

Jun 6, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Surrency

Title

Ceo

Phone

(562) 305-9222

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1639582612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 MEMPHIS AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 MEMPHIS AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032024",
            "telephone_number": "562-305-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE SURRENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "SURRENCY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-305-9222"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Whittier, CA
• Providers in Whittier, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.