Individual
DR. JENNIFER CHANNUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23521 PASEO DE VALENCIA STE 102, LAGUNA HILLS, CA 92653
(949) 520-1815
Mailing address
23521 PASEO DE VALENCIA STE 102, LAGUNA HILLS, CA 92653-3126
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A116489
CA
Other
Enumeration date
07/09/2010
Last updated
02/20/2019
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