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Jennifer Channual MD INC

Dermatology in Laguna Hills, CA. Organization (NPI-2).

NPI number1710485982
StatusActive
Last updated in NPPESJan 23, 2018

Details

NPI
1710485982
Entity type
Organization (NPI-2)
Legal business name
Jennifer Channual MD INC
Organization subpart
No
Enumeration date
Jan 23, 2018
Last updated
Jan 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes

Practice location

23521 Paseo De Valencia Ste 102
Laguna Hills, CA 92653-3126

Phone 949-520-1815

Mailing address

23521 Paseo De Valencia Ste 102
Laguna Hills, CA 92653-3126

Phone 949-520-1815

Authorized official

Jennifer Channual
Owner
9495201815

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