Belanoff, Jeffrey Ross

Belanoff, Jeffrey Ross is an individual health care provider with primary practice located at 2205 Vista Way , Oceanside CA 92054-5661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Belanoff, Jeffrey Ross can be contacted via phone (760) 704-5630.

Contact Information

Primary practice address
2205 Vista Way Oceanside CA 92054-5661
Phone: (760) 704-5630
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G69781 California

Profile Details

NPI number 1962426510
LBN Legal business name Belanoff, Jeffrey Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 6th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962426510 NPPES
California MEDICAID 00G697810

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