Organization
JENNIFER CHANNUAL MD INC
Active
Organization
JENNIFER CHANNUAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHANNUAL MD (OWNER)
(949) 520-1815
Entity
Organization
Contact information
Practice address
23521 PASEO DE VALENCIA STE 102, LAGUNA HILLS, CA 92653-3126
(949) 520-1815
Mailing address
23521 PASEO DE VALENCIA STE 102, LAGUNA HILLS, CA 92653-3126
(949) 520-1815
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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