Individual
JACOB CHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 351, MISSION VIEJO, CA 92691-6374
(949) 364-1007
Mailing address
26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 92691
(949) 364-1007
(949) 364-0317
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95007242
CA
Other
Enumeration date
09/26/2017
Last updated
09/28/2017
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