Provider Demographics
NPI:1316907553
Name:SPRENGEL, JEAN E (MD)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:E
Last Name:SPRENGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:210 N TUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3807
Mailing Address - Country:US
Mailing Address - Phone:800-883-7243
Mailing Address - Fax:714-647-1245
Practice Address - Street 1:681 S PARKER ST
Practice Address - Street 2:STE 150
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4761
Practice Address - Country:US
Practice Address - Phone:714-744-0900
Practice Address - Fax:714-744-0283
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG48055207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G480550Medicaid
CA00G480550Medicaid
CAA50909Medicare UPIN
CACB256079Medicare PIN
CA050004525Medicare PIN