Organization · Type 2 NPI

Jacquelyn Vander Wall Md. Inc

Specialist · Irvine, CA

NPI number 1386724375 Active

Practice location

11 Technology Dr
Irvine, CA 92618-2302

Call (949) 923-3250 Map

Fax (855) 812-5865

Mailing address

3460 Katella Ave
Los Alamitos, CA 90720-2334

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG065045 (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 1386724375

Jacquelyn Vander Wall Md. Inc's National Provider Identifier is 1386724375, issued on Oct 16, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Irvine, CA. The record was last updated on Apr 26, 2016.