Jeffrey M. Johnsrud, M.D.

Specialist · Orange, CA

Individual Active NPI

NPI number 1366516197

Practice location

1140 W La Veta Ave
#760
Orange, CA 92868-4223
Phone
(714) 541-4442
Fax
(714) 835-9550

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NPI record

NPI
1366516197
Entity type
Individual (Type 1)
Enumeration date
November 20, 2006
Last updated
October 27, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X G51096 CA

About Dr. Johnsrud

Jeffrey M. Johnsrud, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1140 W La Veta Ave, #760, Orange, CA 92868-4223. The NPI number 1366516197 was assigned on November 20, 2006 and the record was last updated on October 27, 2011.

Dr. Johnsrud lists a license in the registry: #G51096 (CA) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey M. Johnsrud, M.D.?

The NPI number is 1366516197.

What is the phone number of Dr. Johnsrud?

The phone number listed for the practice location is (714) 541-4442.

Where is Dr. Johnsrud located?

1140 W La Veta Ave, #760, Orange, CA 92868-4223.

What is the taxonomy code for Dr. Johnsrud?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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