Jacquelyn Vander Wall Md. Inc in Irvine - Specialist
Jacquelyn Vander Wall Md. Inc - NPI 1386724375
Jacquelyn Vander Wall Md. Inc is a Specialist in Irvine, California. Jacquelyn Vander Wall Md. Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jacquelyn Vander Wall Md. Inc is 1386724375. The last update date is 2016-04-26.
Jacquelyn Vander Wall Md. Inc's current location address is 11 Technology Dr, Irvine, California. You can contact this provider via phone number 9499233250 and fax number 8558125865. The mailing address for Jacquelyn Vander Wall Md. Inc is 11 Technology Dr, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacquelyn Vander Wall Md. Inc |
|---|---|
| Address | 11 Technology Dr, Irvine, California |
| Phone Number | 9499233250 |
| Fax Number | 8558125865 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Vander Wall Lee Jacquelyn |
| Credentials | M.D. |
| Telephone Number | 5625946599 |
NPI Number Detail
| NPI Number | 1386724375 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2016-04-26 |
Provider Mailing Address Detail
| Address | 11 Technology Dr |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926182302 |
| Phone Number | 9499233250 |
| Fax Number | 8558125865 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G065045 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G65045G | CA | -- | |
| CB252872 | CA | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacquelyn Vander Wall Md. Inc by the Centers for Medicare & Medicaid Services?
The Jacquelyn Vander Wall Md. Inc has been assigned the NPI (National Provider Identifier) 1386724375 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jacquelyn Vander Wall Md. Inc?
The Jacquelyn Vander Wall Md. Inc is physically situated at 11 Technology Dr, in the city of Irvine, state of CA, with the postal code 926182302.
What is Jacquelyn Vander Wall Md. Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacquelyn Vander Wall Md. Inc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did Jacquelyn Vander Wall Md. Inc receive its 1386724375 assignment?
The Jacquelyn Vander Wall Md. Inc was assigned its 1386724375 on 2006-10-16, which is the date when this unique identifier was issued to the organization.
As of what date were the Jacquelyn Vander Wall Md. Inc's details last updated?
The information pertaining to the Jacquelyn Vander Wall Md. Inc, including its address, specialty, and other details, was most recently updated on 2016-04-26.