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Organization

KARTZINEL WELLNESS CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERROLD JAY KARTZINEL MD (PHYSICIAN)
(949) 398-7654
Entity
Organization

Contact information

Practice address
16263 LAGUNA CANYON RD, SUITE 150, IRVINE, CA 92618-3609
(949) 398-7654
(949) 407-6788
Mailing address
14 REDGATE CT, SILVER SPRING, MD 20905-5726
(301) 989-0548
(301) 989-1543

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
G84196
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G84196
MEDICAL LICENSE
CA
Enumeration date
05/21/2013
Last updated
05/21/2013
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