Jacquelyn Lee Vander Wall in Irvine - Geriatric Medicine
Jacquelyn Lee Vander Wall - NPI 1699807792
Jacquelyn Lee Vander Wall is a Geriatric Medicine in Irvine, California. Jacquelyn Lee Vander Wall practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Jacquelyn Lee Vander Wall is 1699807792. The last update date is 2017-09-13.
Jacquelyn Lee Vander Wall'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 Lee Vander Wall is 11 Technology Dr, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Lee Vander Wall |
|---|---|
| Address | 11 Technology Dr, Irvine, California |
| Phone Number | 9499233250 |
| Fax Number | 8558125865 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699807792 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2017-09-13 |
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 | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | G065045 |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G65045G | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jacquelyn Lee Vander Wall by the Centers for Medicare & Medicaid Services?
The Jacquelyn Lee Vander Wall has been issued the NPI (National Provider Identifier) 1699807792. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jacquelyn Lee Vander Wall is physically located?
The Jacquelyn Lee Vander Wall is physically situated at the following address: 11 Technology Dr, Irvine, CA, 926182302.
What is Jacquelyn Lee Vander Wall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacquelyn Lee Vander Wall's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0300X.
On what date did the Jacquelyn Lee Vander Wall receive the assignment of its 1699807792 from the Centers for Medicare & Medicaid Services?
The Jacquelyn Lee Vander Wall was issued its 1699807792 by the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information regarding Jacquelyn Lee Vander Wall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacquelyn Lee Vander Wall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-09-13.
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