Organization
JACK LIANJIE DU, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK LIANJIE DU M.D. (OWNER)
(714) 771-8134
Entity
Organization
Contact information
Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(714) 771-8134
(714) 744-8542
Mailing address
2913 EL CAMINO REAL, #603, TUSTIN, CA 92782-8909
(714) 277-4200
(714) 384-3889
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
08/12/2005
Last updated
11/29/2011
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