Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jenny Mariella Jaque, MD

Individual provider Gynecology Physician · NPI 1225206493

Dr. Jenny Mariella Jaque, MD is a Gynecology Physician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 N State St
Los Angeles, CA 90033-1029
Phone: (323) 226-2622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence A96288 (CA)

Record details

NPI number1225206493
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 11, 2008
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

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