Lawrence J Jaffe MD a Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A32274 Issued in CA

Legal business name

LAWRENCE J JAFFE MD A MEDICAL CORPORATION

Practice address

4411 Morena Blvd
Suite 230
San Diego, CA 92117-4328

Phone

(619) 233-1616

NPI assigned

Jun 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence Jay Jaffe, M.D.

Title

President/Owner

Phone

(619) 233-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1265470694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-233-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MORENA BLVD",
            "address_2": "SUITE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174328",
            "telephone_number": "619-233-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J JAFFE MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-233-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A32274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A322740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mya Lawless
• Janet Lawlor, MT, NCTMB
• Tracy Lawlor, LCSW
• Diane Lawrance, MS, ATC, CSCS
• Lawrence a Wood M.D. a Medical Corporation
• Lawrence J. Schlitt M.D., a Professional Medical Corp. (Del Mar Family Practice)
• Lawrence Koning, MD, Inc
• Lawrence S Pohl MD a Professional Corporation (Mission Valley Medical Clinc)
• Lawrence Truong Chiropractic Inc
• Naomi Elisabeth Lawrence-Reid, M.D.

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.