Individual
JACOB R. JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6200 E CANYON RIM RD STE 111E, ANAHEIM, CA 92807-4313
(714) 974-3338
(714) 974-7683
Mailing address
6200 E CANYON RIM RD STE 111E, ANAHEIM, CA 92807-4313
(714) 974-3338
(714) 974-7683
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5386
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL6752
CA
Other
Enumeration date
09/16/2015
Last updated
10/26/2023
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