Individual provider · NPI-1

Dr. Edward W.B. Jeffes III, M.D.

Dermatology · Laguna Hills, CA

NPI number1154438554
StatusActive
Last updated in NPPESNov 29, 2017

Details

NPI
1154438554
Entity type
Individual (NPI-1)
Name
Dr. Edward W.B. Jeffes III
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 23, 2006
Last updated
Nov 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyG49308CAYes
207ND0101X Dermatology, MOHS-Micrographic SurgeryG49308CA

Practice location

26081 Merit Circle #109
Laguna Hills, CA 92653-7017

Phone 949-582-7699 · Fax 949-582-7691

Mailing address

26081 Merit Circle #109
Laguna Hills, CA 92653-7017

Phone 949-582-7699 · Fax 949-582-7691

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