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Individual

JEFFRY BEN SCHAFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
230 PROSPECT PL, SUITE 350, CORONADO, CA 92118-1978
(619) 437-1388
(619) 437-1857
Mailing address
230 PROSPECT PL, SUITE 350, CORONADO, CA 92118-1978
(619) 437-1388
(619) 437-1857

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
G36897
CA
208200000X
Plastic Surgery Physician
Primary
G36897
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G368970
CA
Enumeration date
01/17/2007
Last updated
09/11/2025
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