Jeffrey M. Johnsrud, a Medical Corporation
Jeffrey M. Johnsrud, a Medical Corporation provides Specialist services in Orange, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
Practice location Address checks out
1140 W La Veta Ave Ste 760Orange, CA 92868-4223 Not confirmed with CMS for 15 years — call before visiting
Phone: (714) 541-4442
Fax: (714) 835-9550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence G51096 (CA) |
|---|
Record details
| NPI number | 1215238522 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Fuentes — Credentialing · (714) 619-5450 |
| NPI enumerated | November 3, 2010 |
| Last updated in NPPES | March 31, 2011 |
| Mailing address | 1140 W La Veta Ave, Suite 760, Orange, CA 92868-4223 |
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