| Jack Lianjie Du, M.d., A Medical Corporation | |
|
1100 W Stewart Dr Orange CA 92868-3849 | |
| (714) 771-8134 | |
| (714) 744-8542 |
| Full Name | Jack Lianjie Du, M.d., A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1100 W Stewart Dr, Orange, California |
| Authorized Official Name and Position | Jack Lianjie Du (OWNER) |
| Authorized Official Contact | 7147718134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Lianjie Du, M.d., A Medical Corporation 2913 El Camino Real #603 Tustin CA 92782-8909 Ph: (714) 277-4200 | Jack Lianjie Du, M.d., A Medical Corporation 1100 W Stewart Dr Orange CA 92868-3849 Ph: (714) 771-8134 |
| NPI Number | 1720080294 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 11/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720080294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
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