Jennifer M Eitel
MD | Pediatrics | Female
Jennifer M Eitel, MD is a Huntington Beach, California based Pediatric doctor with medical specialization in
General Pediatrics. Jennifer M Eitel is also known as
Jennifer Kim.
Current practice location of Jennifer M Eitel is
6611 Cedarwood Dr, Huntington Beach, California - 92648-6659. She can be contacted on phone at
714-308-6784.
Jennifer M Eitel is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer M Eitel is
1568588622 which was assigned by NPPES on 21 Mar, 2007 and it was last updated on 07 Mar, 2023.
Jennifer M Eitel license number is
A104530 for Pediatrics (208000000X) in California.
Jennifer M Eitel is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jennifer M Eitel basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jennifer M Eitel |
|---|
| Other Name : | Jennifer Kim |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jennifer M Eitel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6611 Cedarwood Dr
Huntington Beach, CA, 92648-6659
United States |
|---|
| Phone Number : | 714-308-6784 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568588622 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Mar, 2007 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer M Eitel are as mentioned. Primary taxonomy code for Jennifer M Eitel, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | N1711 | TX |
| 208000000X | Pediatrics | Yes | A104530 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer M Eitel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 198795001 | MEDICAID | TX | |
| 198795002 | MEDICAID | TX | |
| 198795003 | MEDICAID | TX | |
| 198795004 | MEDICAID | TX | |
| 198795005 | MEDICAID | TX | |
| 198795006 | MEDICAID | TX | |
| 198795011 | MEDICAID | TX | |
| LL1716 | Other (non-Medicare) | NV | Medical License |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 441 N Lakeview Ave,
Anaheim, CA, 92807-3028
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6611 Cedarwood Dr
Huntington Beach, CA, 92648-6659
United States |
|---|
| Phone Number : | 714-308-6784 |
|---|
Business Location:
Patients can refer following map for directions to
Jennifer M Eitel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.