Ballard, Jeffrey Lawrence
Ballard, Jeffrey Lawrence is an individual health care provider with primary practice located at 1140 W La Veta Ave Ste. 850, Orange CA 92868-4225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ballard, Jeffrey Lawrence can be contacted via phone (714) 560-4450.Contact Information
Primary practice address
1140 W La Veta Ave Ste. 850
Orange CA 92868-4225
Phone: (714) 560-4450
Fax: (714) 560-4455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G61836 | California |
Profile Details
| NPI number | 1205837200 |
|---|---|
| LBN Legal business name | Ballard, Jeffrey Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Aug 18th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205837200 | NPPES |
| California | MEDICAID | 00G618360 | |
| California | Other | 050069CD43675 | |
| California | Other | 00G618360 | |
| California | Other | 00G618360 M46 | |
| California | Other | P00139413 |
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