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

Jeffrey Roque

Individual provider Registered Nurse · NPI 1417605288

Jeffrey Roque is a Registered Nurse in Covina, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1359 N Grand Ave
Covina, CA 91724-1016
Phone: (626) 430-2900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95043465 (CA)

Record details

NPI number1417605288
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address4095 Irish Moss Ln, San Bernardino, CA 92407-0620

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