Most Relevant Information
Provider Data
| NPI Number: | 1003235235 |
| Provider Name: | ECLER ERCOLE JAQUA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | A143997 |
Most Important Dates
| Enumeration Date: | 04/15/2014 |
| Last Updated: | 12/16/2022 |
Provider Practice Location
25455 BARTON RD STE 204B
LOMA LINDA
CA
923543130
Practice Location Phone/Fax
| Phone: | 9095586600 |
| Fax: |
Provider Mailing Location
FILE # 54701
LOS ANGELES
CA
900744701
Provider Mailing Phone/Fax
| Phone: | 9095586600 |
| Fax: |
Suggested EMR
Family Practice EMR