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Contact Information

JANE L FREDERICK, MD
23961 CALLE DE LA MAGDALENA
SUITE 541
LAGUNA HILLS, CA92653-3616
 Phone: 909-472-9446
 Fax: 949-472-9023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JANE L FREDERICK · (Female)

NPI # 1417927070
Status Active
Credentials MD
Entity Individual
Enumeration date 01/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G55594
  • CA Other G55594 MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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