Lander, Jeffrey Keith
Lander, Jeffrey Keith is an individual health care provider with primary practice located at 16300 Sand Canyon Ave Suite 612, Irvine CA 92618-3711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Lander, Jeffrey Keith can be contacted via phone (949) 753-1001.Contact Information
Primary practice address
16300 Sand Canyon Ave Suite 612
Irvine CA 92618-3711
Phone: (949) 753-1001
Fax: (949) 753-1115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A93332 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A93332 | California |
Profile Details
| NPI number | 1174566046 |
|---|---|
| LBN Legal business name | Lander, Jeffrey Keith |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174566046 | NPPES |
| Other | WA93332B | MEDICARE PTAN |
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