Individual
JEFFREY G LOBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
313 TALL OAK, IRVINE, CA 92603-0673
(480) 789-1819
Mailing address
313 TALL OAK, IRVINE, CA 92603-0673
(480) 789-1819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
89271
CA
2080P0203X
Pediatric Critical Care Medicine Physician
32163
IA
2080P0203X
Pediatric Critical Care Medicine Physician
37874
AZ
2080P0214X
Pediatric Pulmonology Physician
036-128419
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2939868
—
IA
01
—
41639
WELLMARK
IA
Enumeration date
09/23/2005
Last updated
06/29/2016
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