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Individual

JANE LEIGH FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
23961 CALLE DE LA MAGDALENA, SUITE 541, LAGUNA HILLS, CA 92653-3616
(909) 472-9446
(949) 472-9023
Mailing address
333 S ARROYO PKWY, PASADENA, CA 91105-2515
(626) 440-9161
(626) 585-1603

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
G55594
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G55594
MEDICAL LICENSE
CA
Enumeration date
01/25/2006
Last updated
07/08/2007
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