# JEFFREY BALLARD, M.D., APC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JEFFREY BALLARD, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215183439
- **Authorized official:** DR. JEFFREY BALLARD MD (PHYSICIAN)
- **Authorized official phone:** (805) 484-2783

## Contact information

- **Practice address:** 2486 PONDEROSA DR N, D 114, CAMARILLO, CA 93010-2469
- **Practice address phone:** (805) 484-2783
- **Practice address fax:** (805) 987-8519
- **Mailing address:** 2486 PONDEROSA DR N, D 114, CAMARILLO, CA 93010-2469
- **Mailing address phone:** (805) 484-2783
- **Mailing address fax:** (805) 987-8519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G83822 | CA | Yes |

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 08/26/2014