Healthcare Provider Details

I. General information

NPI: 1104754647
Provider Name (Legal Business Name): JASON KAJBAF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 SPECTRUM
IRVINE CA
92618-3126
US

IV. Provider business mailing address

1302 SPECTRUM
IRVINE CA
92618-3126
US

V. Phone/Fax

Practice location:
  • Phone: 951-466-6628
  • Fax:
Mailing address:
  • Phone: 951-466-6628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON KAJBAF
Title or Position: OWNER
Credential: DO
Phone: 909-896-8381