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

JAY WALLACE YEAGER, COTA

Active Sole Proprietor

JAY WALLACE YEAGER, COTA is a Specialist healthcare provider located in PLACENTIA, California. NPI 1962696575 is currently active in the NPPES registry. Verify at CMS.

Specialist · PLACENTIA, CA

Registration Details

NPI Number
1962696575
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2007 (18.97442120781 yrs)
Last Updated
Aug 28, 2007
License
OTA318 (CA)
Sole Proprietor
Yes

Practice Information

Address
101 S KRAEMER BLVD STE 206
PLACENTIA, CA, 928706110
Browse CA providers · Browse ZIP 92870
Phone
7149618288
Primary Specialty
Specialist
174400000X

Other Specialist Providers in PLACENTIA, CA

Name Credential NPI
KENNETH EDWIN SCHEMMER M.D. 1619066867
PAULINE HO M.D. 1194854794
DR. STEVE ANTHONY FERRARI PH.D. 1982029054
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.