Jacob Otto Boeckmann
Facial Plastic Surgeon
25500 Rancho Niguel Rd Ste 120
Laguna Niguel
, California 92677-7388
Jacob Otto Boeckmann
Facial Plastic Surgeon
25500 Rancho Niguel Rd Ste 120
Laguna Niguel
, California 92677-7388
(833) 719-8711
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Jacob Otto Boeckmann
- 25500 Rancho Niguel Rd Ste 120
- Laguna Niguel, CA
- Zip : 92677-7388
- Fax : (833) 719-8711
- Phone : (949) 276-3112
Second Address
- Jacob Otto Boeckmann
- 25500 Rancho Niguel Rd Ste 120
- Laguna Niguel, CA
- Zip : 92677-7388
- Fax : (833) 719-8711
- Phone : (949) 273-3112
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | A123972 | CA |
National Provider Identifier
| NPI | 1861666703 |
|---|---|
| Provider Name | Jacob Otto Boeckmann |
| First Address | Laguna Niguel, CA 92677-7388 |
| Second Address | Laguna Niguel, CA 92677-7388 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2008 |
| Last Update Date | 12/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.