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Organization
LAWRENCE J JAFFE MD A MEDICAL CORPORATION
Active
Organization
LAWRENCE J JAFFE MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE JAY JAFFE M.D. (PRESIDENT/OWNER)
(619) 233-1616
Entity
Organization
Contact information
Practice address
4411 MORENA BLVD, SUITE 230, SAN DIEGO, CA 92117-4328
(619) 233-1616
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 233-1616
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A32274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A322740
—
CA
Enumeration date
06/04/2006
Last updated
07/15/2022
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