Individual provider · Type 1 NPI
Jeffrey M. Johnsrud, MD
Specialist · Orange, CA
NPI number
1366516197
Active
Practice location
1140 W La Veta Ave, #760
Orange, CA 92868-4223
Fax (714) 835-9550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G51096 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1366516197
Jeffrey M. Johnsrud, MD's National Provider Identifier is 1366516197, issued on Nov 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orange, CA. The record was last updated on Oct 27, 2011.