Individual provider · NPI-1

Jacek Cieply

Nurse Practitioner, Family · Mission Viejo, CA

NPI number1649826264
StatusActive
Last updated in NPPESSep 2, 2022

Details

NPI
1649826264
Entity type
Individual (NPI-1)
Name
Jacek Cieply
Sex
Male
Sole proprietor
No
Enumeration date
Aug 11, 2019
Certification date
Sep 2, 2022
Last updated
Sep 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyNP95011982CAYes
207Q00000X Family Medicine95011982CA

Practice location

25422 Terreno Dr
Mission Viejo, CA 92691-5510

Phone 949-282-7248

Mailing address

25422 Terreno Dr
Mission Viejo, CA 92691-5510

Phone 949-282-7248

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