Individual
DR. JANE L. KAKKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9900 TALBERT AVE, SUITE 100, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-5011
(714) 378-5051
Mailing address
3857 BIRCH ST # 626, NEWPORT BEACH, CA 92660-2616
(714) 378-5043
(949) 258-5287
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A53546
CA
2086X0206X
Surgical Oncology Physician
A53546
CA
Other
Enumeration date
05/11/2006
Last updated
07/21/2022
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