Jacquelyn Vander Wall, M.D

NPI 1699807792 · on the registry since 2007

Practice

Address: 3460 Katella Ave
Los Alamitos, CA 90720
Phone: (702) 579-3203
Organisation at this address: Centers For Family Medicine
Centers For Family Medicine Gp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Additional practice sites

11 Technology Dr, Irvine, CA

Registry record

Primary taxonomy: 207RG0300X
207RG0300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California