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NPI Code Detail

MEDICARE: DR. JEFFREY JOSEPH M.D.

MEDICARE:  DR. JEFFREY  JOSEPH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0200XOphthalmic Plastic and Reconstructive Surgery PhysicianA117073CA

General Provider Information

NPI Number : 1134395205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY JOSEPH M.D.
Provider Business Mailing Address
First Line : 5010 CAMPUS DR STE 100
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2120
Country : US
Telephone Number : 949-424-3524
Fax Number :
Provider Business Practice Location Address
First Line : 5010 CAMPUS DR STE 100
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2120
Country : US
Telephone Number : 949-424-3524
Fax Number : 888-317-9590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2008
Last Update Date : 10/18/2023

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Directions to “ DR. JEFFREY JOSEPH M.D.” Practice Location

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