Provider Demographics
NPI:1396490439
Name:JAURIGUE, CATHERINE (RPH)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:JAURIGUE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18124 COMPANARIO DR
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1810
Mailing Address - Country:US
Mailing Address - Phone:213-309-5062
Mailing Address - Fax:
Practice Address - Street 1:1600 S HILL ST STE B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3558
Practice Address - Country:US
Practice Address - Phone:213-746-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
21295860OtherKAISER