Individual
JEANETT SEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6700 N 1ST ST, STE 131, FRESNO, CA 93710-3947
(714) 633-4666
Mailing address
44215 15TH ST W, STE 209, LANCASTER, CA 93534-5504
(310) 348-0500
(310) 348-0201
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A81422
CA
207N00000X
Dermatology Physician
A81422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA81422A
PPIN
CA
Enumeration date
06/05/2006
Last updated
10/27/2016
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