Organization
KARTZINEL WELLNESS CENTER INC.
Active
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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