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Jacquelyn Lee Vander Wall, MD
Geriatric Medicine (Internal Medicine) Physician in Irvine, California
NPI 1699807792

Jacquelyn Lee Vander Wall is a Geriatric Medicine (Internal Medicine) Physician based in Los Alamitos, CA and is specialized in Geriatric Medicine. Jacquelyn Lee Vander Wall practices in Irvine, CA and has the professional credentials of MD. The NPI Number for Jacquelyn Lee Vander Wall is 1699807792 and holds a License No. G065045 (California).

The current practice location address for Jacquelyn Lee Vander Wall is 11 Technology Dr, Irvine, CA and can be reached out via phone at 949-923-3250 and via fax at 855-812-5865. You can also correspond with Jacquelyn Lee Vander Wall through the mailing address at 3460 KATELLA AVE, LOS ALAMITOS, CA - 90720-2334 (mailing address contact number: 562-594-6599).

Location: 11 Technology Dr, Irvine, CA, 90720-2334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699807792
Provider Name
Jacquelyn Lee Vander Wall
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11 Technology Dr, Irvine, CA, 90720-2334
Phone Number
949-923-3250
Fax Number
855-812-5865
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G65045G 05 CA
institution
Provider Business Practice Location Address Details
Address
11 Technology Dr
City
Irvine
State
California
Zip
92618-2302
Phone Number
949-923-3250
Fax Number
855-812-5865
person
Provider Business Mailing Address Details
Address
11 Technology Dr
City
Irvine
State
California
Zip
92618-2302
Phone Number
949-923-3250
Fax Number
855-812-5865
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
G065045 (California)
Definition
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.
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