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Jeffrey M. Johnsrud, A Medical Corporation
Specialist in Orange, California
NPI 1215238522

Jeffrey M. Johnsrud, A Medical Corporation is a Specialist based in Orange, CA. Jeffrey M. Johnsrud, A Medical Corporation practices in Orange, CA. The NPI Number for Jeffrey M. Johnsrud, A Medical Corporation is 1215238522 and holds a License No. G51096 (California).

The current practice location address for Jeffrey M. Johnsrud, A Medical Corporation is 1140 W La Veta Ave, Orange, CA and can be reached out via phone at 714-541-4442 and via fax at 714-835-9550.

Location: 1140 W La Veta Ave, Orange, CA, 92868-4223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215238522
Provider Name
Jeffrey M. Johnsrud, A Medical Corporation
Credential
Provider Entity Type
Organization
Address
1140 W La Veta Ave, Orange, CA, 92868-4223
Phone Number
714-541-4442
Fax Number
714-835-9550
Provider Enumeration Date
11/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1140 W La Veta Ave
City
Orange
State
California
Zip
92868-4223
Phone Number
714-541-4442
Fax Number
714-835-9550
person
Provider Business Mailing Address Details
Address
1140 W La Veta Ave
City
Orange
State
California
Zip
92868-4223
Phone Number
714-541-4442
Fax Number
714-835-9550
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G51096 (California)
Definition
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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