Individual
MS. JANA L VANSURKSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12 MAUCHLY STE A, IRVINE, CA 92618-2394
(949) 552-9100
(949) 552-9102
Mailing address
3 CALLE ROSADO, MISSION VIEJO, CA 92692-5997
(949) 454-8366
(949) 552-9102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT21471
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT21471
CA
Other
Enumeration date
08/31/2006
Last updated
10/06/2022
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