Jay Wallace Yeager in Placentia - Specialist

Jay Wallace Yeager - NPI 1962696575

Jay Wallace Yeager is a Specialist in Placentia, California. Jay Wallace Yeager practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jay Wallace Yeager is 1962696575. The last update date is 2007-08-28.

Jay Wallace Yeager's current location address is 101 S Kraemer Blvd Ste 206, Placentia, California. You can contact this provider via phone number 7149618288. The mailing address for Jay Wallace Yeager is 101 S Kraemer Blvd Ste 206, Placentia, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay Wallace Yeager
Address 101 S Kraemer Blvd Ste 206, Placentia, California
Phone Number 7149618288
Fax Number
Sole Proprietor Y
Credentials COTA

NPI Number Detail

NPI Number 1962696575
Provider Enumeration Date 2007-08-28
Last Updated Date 2007-08-28

Provider Mailing Address Detail

Address 101 S Kraemer Blvd Ste 206
City Placentia
State California (CA)
Post Code 928706110
Phone Number 7149618288
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No OTA318
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.

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FAQs about Jay Wallace Yeager

What is the unique 10-digit identifier code assigned to Jay Wallace Yeager by the Centers for Medicare & Medicaid Services?

The Jay Wallace Yeager has been issued the NPI (National Provider Identifier) 1962696575 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jay Wallace Yeager is located?

The Jay Wallace Yeager is situated at the following address: 101 S Kraemer Blvd Ste 206, Placentia, CA, 928706110.

What is Jay Wallace Yeager's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jay Wallace Yeager's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Jay Wallace Yeager receive its 1962696575 assignment from the Centers for Medicare & Medicaid Services?

The Jay Wallace Yeager was assigned its 1962696575 by the Centers for Medicare & Medicaid Services on 2007-08-28.

As of what date was the information pertaining to Jay Wallace Yeager, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jay Wallace Yeager, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-28.

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