Jacquelyn Vander Wall Md. Inc

  • 1386724375 NPI Number
  • |
  • Actived: 17 years ago
  • |
Jacquelyn Vander Wall Md. Inc is a health care provider based in Irvine, CA. The NPI Number is 1386724375 and it has been active since 17 years ago. The specialty is Specialist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Specialist services, Jacquelyn Vander Wall Md. Inc is an excellent option. We are here to help you get the care you need.

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Overview of Jacquelyn Vander Wall Md. Inc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/16/2006
  • Last updated: 04/26/2016

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: G065045
  • License State: CA

Provider Mailing Address

  • Address: 3460 Katella Ave
    Los Alamitos, CA 90720
  • Phone: 562-594-6599
  • Fax: 562-598-7116

Provider Practice Location

  • Address: 11 Technology Dr
    Irvine, CA 92618
  • Phone: 949-923-3250
  • Fax: 855-812-5865

Authorized Official

  • Name: Jacquelyn Lee Vander Wall M.D.
  • Position/Title: Md
  • Telephone Number: 562-594-6599

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: G065045
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00G65045G
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacquelyn Vander Wall Md. Inc?
  • A: The npi number for Jacquelyn Vander Wall Md. Inc is 1386724375.
  • Q: What are Jacquelyn Vander Wall Md. Inc's specialties?
  • A: Jacquelyn Vander Wall Md. Inc's specialties are Specialist and different specialities.
  • Q: Where is Jacquelyn Vander Wall Md. Inc business practice location?
  • A: Jacquelyn Vander Wall Md. Inc business practice location is 11 Technology Dr, Irvine, CA 92618.
  • Q: How to contact Jacquelyn Vander Wall Md. Inc?
  • A: You can contact Jacquelyn Vander Wall Md. Inc via 949-923-3250.
  • Q: What is the authorized official for Jacquelyn Vander Wall Md. Inc?
  • A: The authorized office name is Jacquelyn Lee Vander Wall M.D. with position/title is Md and you can reach the authorized official via phone number 5625946599.
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