Individual
DR. JEFFREY L DOBYNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR, SUITE 508, ORANGE, CA 92868-3854
(714) 633-2111
(714) 633-5615
Mailing address
1310 W STEWART DR, SUITE 508, ORANGE, CA 92868-3854
(714) 633-2111
(714) 633-5615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G50776
CA
207X00000X
Orthopaedic Surgery Physician
G50776
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
G50776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G507760
—
CA
01
—
00G507761
MEDI-CAL LEGACY NUMBER
CA
01
—
G50776
GROUP PTAN W14179
CA
Enumeration date
06/28/2006
Last updated
11/07/2016
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