Ponce, Jeanette Rae

Ponce, Jeanette Rae is an individual health care provider with primary practice located at 2112 E 4Th St Ste 100 , Santa Ana CA 92705-3849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ponce, Jeanette Rae can be contacted via phone (714) 751-3800.

Contact Information

Primary practice address
2112 E 4Th St Ste 100 Santa Ana CA 92705-3849
Phone: (714) 751-3800
Fax: (714) 795-2992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A68979 California

Profile Details

NPI number 1548230337
LBN Legal business name Ponce, Jeanette Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 30th, 2018 - about 6 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 1548230337 NPPES
California MEDICAID 00A689790

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