MEDICARE: DR. JEFFREY MARK SMITH 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
1	207X00000X	Orthopaedic Surgery Physician	G83625	CA

General Provider Information

NPI Number	:	1952324766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY MARK SMITH M.D.

Provider Business Mailing Address
First Line	:	7510 CLAIREMONT MESA BLVD STE 100
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-1539
Country	:	US
Telephone Number	:	858-278-8031
Fax Number	:	858-278-1708

Provider Business Practice Location Address
First Line	:	7510 CLAIREMONT MESA BLVD STE 100
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-1539
Country	:	US
Telephone Number	:	858-278-8031
Fax Number	:	858-278-1708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	12/10/2025

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