IndividualActive
Jacob Boeckmann, MD
NPI 1861666703 · Facial Plastic Surgery Physician · Laguna Niguel, CA
Provider details
- NPI number
- 1861666703
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A123972 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
25500 Rancho Niguel Rd Ste 120
Laguna Niguel, CA 92677-7388
Phone: (949) 273-3112
Fax: (833) 719-8711
Approximate (ZIP-level) locationGet directions
Mailing address
25500 Rancho Niguel Rd Ste 120
Laguna Niguel, CA 92677-7388
Registry dates
- Enumerated
- 2008-04-22
- Last updated
- 2019-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.