Provider Demographics
NPI:1457040636
Name:PAZ, JESSICA SUAREZ
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:SUAREZ
Last Name:PAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:SUAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13121 PHILADELPHIA ST
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4302
Mailing Address - Country:US
Mailing Address - Phone:562-698-0581
Mailing Address - Fax:562-696-9798
Practice Address - Street 1:13121 PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4302
Practice Address - Country:US
Practice Address - Phone:562-698-0581
Practice Address - Fax:562-696-9798
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8908237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist