Jeffrey Stuart Illeck
Obstetrician & Gynecologist
19582 Beach Blvd Ste 202
Huntington Beach
, California 92648-2996
Jeffrey Stuart Illeck
Obstetrician & Gynecologist
19582 Beach Blvd Ste 202
Huntington Beach
, California 92648-2996
(714) 841-2729
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Jeffrey Stuart Illeck
- 19582 Beach Blvd Ste 202
- Huntington Beach, CA
- Zip : 92648-2996
- Fax : (714) 841-2729
- Phone : (714) 841-9899
Second Address
- Jeffrey Stuart Illeck
- 19582 Beach Blvd Ste 202
- Huntington Beach, CA
- Zip : 92648-2996
- Fax : (714) 841-2729
- Phone : (714) 841-9899
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | G067729 | CA |
National Provider Identifier
| NPI | 1013920958 |
|---|---|
| Provider Name | Jeffrey Stuart Illeck |
| First Address | Huntington Beach, CA 92648-2996 |
| Second Address | Huntington Beach, CA 92648-2996 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2006 |
| Last Update Date | 06/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F11563 | (02) | CA |
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.