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JANE KAKKIS MD INC. NPI 1902058670


NPI Information

NPI: 1902058670
Provider Name: JANE KAKKIS, MD, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9900 TALBERT AVE
SUITE 103
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 378-5011
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JANE KAKKIS, MD, INC. is a specialist in Fountain Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JANE KAKKIS, MD, INC. NPI is 1902058670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9900 TALBERT AVE
SUITE 103
FOUNTAIN VALLEY, CA
ZIP 92708-153
Phone: (714) 378-5011
Fax: (714) 378-5051

The provider's authorized official is Jane Lilian Kakkis .
The authorized official title is Surgeon and has the following contact phone number (714) 378-5011.

The enumeration date for this NPI number is 10/14/2008 and was last updated on 10/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA53546CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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