KARTZINEL WELLNESS CENTER INC.


Address: 16263 Laguna Canyon Rd, Suite 150, Irvine, CA 92618-3609
Phone: 9493987654

KARTZINEL WELLNESS CENTER INC. (NPI# 1275979973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275979973
Entity Type Organization
Organization Name KARTZINEL WELLNESS CENTER INC.
Practice Address 16263 Laguna Canyon Rd
Suite 150
Irvine
CA 92618-3609
Mailing Address 14 Redgate Ct
Silver Spring
MD 20905-5726
Practice Telephone 9493987654
Practice Fax Number 9494076788
Mailing Telephone 3019890548
Mailing Fax Number 3019891543
Enumeration Date 2013-05-21
Last Update Date 2013-05-21
Authorized Official Name DR. JERROLD JAY KARTZINEL (PHYSICIAN)
Authorized Official Telephone 9493987654
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
G84196 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL LICENSE G84196 01

Office Location

Street Address 16263 LAGUNA CANYON RD
SUITE 150
City IRVINE
State CA
Zip Code 92618-3609

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Taxonomy Information

Taxonomy Code 2080P0008X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neurodevelopmental Disabilities

Taxonomy Definition

A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306406467 Debra Nipp Pediatrics 1661 Tice Valley Blvd Ste 100, Walnut Creek, CA 94595-1691 2019-06-19
1528332905 Pantea Sharifi Hannauer, M.d. Inc. Pediatrics 3524 Torrance Blvd., Suite 104, Torrance, CA 90503 2012-03-01
1891098422 Bayard Allmond Jr. Pediatrics 36 Hillcrest Rd, Berkeley, CA 94705-2807 2010-12-21
1366654774 Arleen Leann House Downing Pediatrics 2313 Old Grand St, Santa Ana, CA 92705-6967 2007-05-06
1427176700 Suzanne Goh-hattangadi Pediatrics 7090 Miratech Dr, San Diego, CA 92121-3109 2007-03-26
1861552713 Georgia Rae Prentice Pediatrics 26451 Crown Valley Pky, Mission Viejo, CA 92691 2006-12-11
1972615227 Paul Michael Chretien Pediatrics 1111 Exposition Blvd., Bldg 700, Ste 102, Sacramento, CA 95815-4335 2006-08-31
1386753093 Howard L Wolfinger Jr. Pediatrics 4355 Ruffin Rd, San Diego, CA 92123-4306 2006-08-29
1790292605 Sana Khan Pediatrics 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 2018-01-02
1053706267 Brian Wong Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2015-04-03
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Competitor

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City IRVINE
Zip Code 92618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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