Individual
DR. THEODORE JAMES JEKUMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 W ROMNEYA DR, 404, ANAHEIM, CA 92801-1830
(714) 535-4747
(714) 535-4054
Mailing address
1801 W ROMNEYA DR, 404, ANAHEIM, CA 92801-1830
(714) 535-4747
(714) 535-4054
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G23626
CA
208C00000X
Colon & Rectal Surgery Physician
G23626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G236261
—
CA
Enumeration date
04/04/2006
Last updated
01/28/2015
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