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JACOB OTTO BOECKMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25500 RANCHO NIGUEL RD STE 120, LAGUNA NIGUEL, CA 92677-7388
(949) 273-3112
(833) 719-8711
Mailing address
25500 RANCHO NIGUEL RD STE 120, LAGUNA NIGUEL, CA 92677-7388
(949) 276-3112
(833) 719-8711

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A123972
CA

Other

Enumeration date
04/22/2008
Last updated
06/12/2019
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