Desantis, Jeffrey R

Desantis, Jeffrey R is an individual health care provider with primary practice located at 1038 E Chapman Ave , Orange CA 92866-2111. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Desantis, Jeffrey R can be contacted via phone (714) 771-4191.

Contact Information

Primary practice address
1038 E Chapman Ave Orange CA 92866-2111
Phone: (714) 771-4191
Fax: (714) 771-2731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3758 California

Profile Details

NPI number 1659371748
LBN Legal business name Desantis, Jeffrey R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 8th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659371748 NPPES
California MEDICAID 000E37580

Popular Providers