Individual
MR. JESKEITH BRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(949) 229-2611
Mailing address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(949) 229-2611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95012784
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012784
CA
Other
Enumeration date
09/23/2019
Last updated
05/08/2025
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