Individual
VIJAY JAYA PANCHOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 SANDPIPER, IRVINE, CA 92604-3647
(408) 621-1512
Mailing address
8 SANDPIPER STREET, IRVINE, CA 92604
(408) 621-1512
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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