Healthcare Provider Details

I. General information

NPI: 1144250846
Provider Name (Legal Business Name): JANIS D. FEE, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S ANAHEIM HILLS RD SUITE 129
ANAHEIM CA
92807-4780
US

IV. Provider business mailing address

500 S ANAHEIM HILLS RD SUITE 129
ANAHEIM CA
92807-4780
US

V. Phone/Fax

Practice location:
  • Phone: 714-282-1892
  • Fax: 714-282-9682
Mailing address:
  • Phone: 714-282-1892
  • Fax: 714-282-9682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHANNON WEBER
Title or Position: MANAGER
Credential:
Phone: 714-282-1892