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NPI Code Detail

MEDICARE: JANE F. DONAT M.D.

MEDICARE:   JANE F. DONAT  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0402XNeurology with Special Qualifications in Child Neurology PhysicianG86619CA
22084N0600XClinical Neurophysiology PhysicianG86619CA

General Provider Information

NPI Number : 1497723498
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE F. DONAT M.D.
Provider Business Mailing Address
First Line : 455 S MAIN ST
Second Line :
City : ORANGE
State : CA
Zip : 92868-3835
Country : US
Telephone Number : 714-289-4511
Fax Number : 714-204-3212
Provider Business Practice Location Address
First Line : 455 S MAIN ST
Second Line :
City : ORANGE
State : CA
Zip : 92868-3835
Country : US
Telephone Number : 714-289-4511
Fax Number : 714-204-3212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 03/20/2012

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Directions to “ JANE F. DONAT M.D.” Practice Location

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