Organization
TRANSFORMATION HEALTH & WELLNESS
Active
Other names
Transformation Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN DIANE CORTEZ DO (PRESIDENT)
(714) 900-3091
Entity
Organization
Contact information
Practice address
6200 E CANYON RIM RD STE 105B, ANAHEIM, CA 92807-4313
(714) 900-3091
(714) 386-5147
Mailing address
6200 E CANYON RIM RD STE 105B, ANAHEIM, CA 92807-4313
(714) 900-3091
(714) 386-5147
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982732236
NPI
CA
Enumeration date
09/03/2020
Last updated
09/03/2020
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