Individual provider · Type 1 NPI

Jeff Joe Thekkekara, DO

Student in an Organized Health Care Education/Training Program · Hemet, CA

NPI number 1215518816 Active

Practice location

1117 E Devonshire Ave
Hemet, CA 92543-3083

Call (951) 652-2811 Map

Mailing address

2305 Buckeye Dr
Mesquite, TX 75181-1074

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215518816

Jeff Joe Thekkekara, DO's National Provider Identifier is 1215518816, issued on Apr 16, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hemet, CA. The record was last updated on Apr 16, 2021.