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NPI Code Detail

MEDICARE: JAYCEE JAMES NON PHYSICIAN

MEDICARE:   JAYCEE  JAMES  NON PHYSICIAN
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
1175L00000XHomeopath
2175F00000XNaturopath
3171M00000XCase Manager/Care Coordinator
4251B00000XCase Management Agency
5253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1568860823
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYCEE JAMES NON PHYSICIAN
Provider Business Mailing Address
First Line : 17531 HUDSON DRIVE
Second Line :
City : VICTORVILLE
State : CA
Zip : 92395
Country : US
Telephone Number : 760-596-4517
Fax Number :
Provider Business Practice Location Address
First Line : 2029 CENTURY PARK E
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067
Country : US
Telephone Number : 760-205-9006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2014
Last Update Date : 01/23/2015

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Directions to “ JAYCEE JAMES NON PHYSICIAN” Practice Location

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