Organization
DEL MAR MED A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY EATON (MD PRESIDENT)
(858) 755-6647
Entity
Organization
Contact information
Practice address
12395 EL CAMINO REAL STE 200, SAN DIEGO, CA 92130-3083
(858) 755-6647
Mailing address
12395 EL CAMINO REAL STE 200, SAN DIEGO, CA 92130-3083
(858) 755-6647
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
Other
Enumeration date
09/28/2006
Last updated
12/08/2008
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