Individual provider · Type 1 NPI

Jacquelyn Lee Vander Wall, MD

Geriatric Medicine (Internal Medicine) Physician · Los Alamitos, CA

NPI number 1699807792 Active

Practice location

3460 Katella Ave
Los Alamitos, CA 90720-2334

Call (702) 579-3203 Map

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice locations

  • 11 Technology Dr, Irvine, CA 92618-2302 · (949) 923-3250

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300XG065045 (CA)

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

17 other providers at this address

About NPI 1699807792

Jacquelyn Lee Vander Wall, MD's National Provider Identifier is 1699807792, issued on Mar 12, 2007. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Los Alamitos, CA. The record was last updated on Nov 30, 2025.