Frazer, Jeffrey Robert

Frazer, Jeffrey Robert is an individual health care provider with primary practice located at 8001 Frost St Entrance 9, San Diego CA 92123-2746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Frazer, Jeffrey Robert can be contacted via phone (858) 966-5855.

Contact Information

Primary practice address
8001 Frost St Entrance 9 San Diego CA 92123-2746
Phone: (858) 966-5855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A88078 California
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X A88078 California

Profile Details

NPI number 1144378852
LBN Legal business name Frazer, Jeffrey Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 24th, 2011 - about 13 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 1144378852 NPPES
California MEDICAID 00A880780

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