Individual
DR. JAY WOHLGEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33608 ORTEGA HWY, SAN JUAN CAPISTRANO, CA 92675-2042
(949) 728-4271
Mailing address
33608 ORTEGA HWY, SAN JUAN CAPISTRANO, CA 92675-2042
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A69610
CA
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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