Individual
MALLORY JEBBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5000
Mailing address
333 CITY BLVD W STE 1600, ORANGE, CA 92868-5903
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A157063
CA
Other
Enumeration date
06/21/2017
Last updated
11/02/2023
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