Organization
JEFFREY K. LANDER, M.D., PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY K LANDER M.D. (OWNER)
(949) 766-3426
Entity
Organization
Contact information
Practice address
16300 SAND CANYON AVE, SUITE 612, IRVINE, CA 92618-3711
(949) 753-1001
(949) 753-1114
Mailing address
16300 SAND CANYON AVE, SUITE 612, IRVINE, CA 92618-3711
(949) 753-1001
(949) 753-1114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A93332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W22392
MEDICARE PTAN
CA
Enumeration date
03/26/2008
Last updated
02/27/2012
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