Individual
JACK JEWELINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26041 RED CORRAL RD, LAGUNA HILLS, CA 92653-6310
(714) 325-1950
Mailing address
26041 RED CORRAL RD, LAGUNA HILLS, CA 92653-6310
(714) 325-1950
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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