MEDICARE: JANE J XENOS DO

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
1	207Q00000X	Family Medicine Physician	20A6106	CA

General Provider Information

NPI Number	:	1518045970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE J XENOS DO

Provider Business Mailing Address
First Line	:	PO BOX 568
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92661-0568
Country	:	US
Telephone Number	:	949-261-1227
Fax Number	:	949-261-7027

Provider Business Practice Location Address
First Line	:	3848 CAMPUS DR
Second Line	:	SUITE 108
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2610
Country	:	US
Telephone Number	:	949-261-1227
Fax Number	:	949-261-7027

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

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Directions to “ JANE J XENOS DO” Practice Location

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