Healthcare Provider Details

I. General information

NPI: 1750213823
Provider Name (Legal Business Name): JAGAUT VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1048 IRVINE AVE # 1056
NEWPORT BEACH CA
92660-4602
US

IV. Provider business mailing address

1048 IRVINE AVE # 1056
NEWPORT BEACH CA
92660-4602
US

V. Phone/Fax

Practice location:
  • Phone: 949-616-2588
  • Fax:
Mailing address:
  • Phone: 949-616-2588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JACK BIEHL
Title or Position: CEO
Credential:
Phone: 949-616-2588