Do, Jaclynn J

Do, Jaclynn J is an individual health care provider with primary practice located at 10141 Westminster Ave Suite E, Garden Grove CA 92843-4788. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Do, Jaclynn J can be contacted via phone (714) 467-4321.

Contact Information

Primary practice address
10141 Westminster Ave Suite E Garden Grove CA 92843-4788
Fax: (714) 467-4311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A78520 California

Profile Details

NPI number 1366439051
LBN Legal business name Do, Jaclynn J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366439051 NPPES
California MEDICAID 00A785200

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