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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELYN VANDER WALL MD. INC

Active Organization

JACQUELYN VANDER WALL MD. INC is a Specialist organization located in IRVINE, California. NPI 1386724375 is currently active in the NPPES registry. Verify at CMS.

Specialist · IRVINE, CA

Registration Details

NPI Number
1386724375
Provider Type
Organization
NPI Issued
Oct 16, 2006 (19.820590240287 yrs)
Last Updated
Apr 26, 2016
License
G065045 (CA)

Practice Information

Address
11 TECHNOLOGY DR
IRVINE, CA, 926182302
Browse CA providers · Browse ZIP 92618
Phone
9499233250
Fax
8558125865
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.