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Individual

CHRISTIAN R JAGUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(714) 633-9111
Mailing address
PO BOX 690, LONG BEACH, CA 90801-0690
(562) 809-3547

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A66125
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A661250
CA
Enumeration date
02/16/2007
Last updated
07/08/2007
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