Organization
JANE KAKKIS, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE LILIAN KAKKIS MD, MPH (SURGEON)
(714) 378-5011
Entity
Organization
Contact information
Practice address
9900 TALBERT AVE, SUITE 103, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-5011
(714) 378-5051
Mailing address
9900 TALBERT AVE, SUITE 103, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-5011
(714) 378-5051
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A53546
CA
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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