Jeffrey K. Lander, M.D., PH.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A93332 Issued in CA

Legal business name

JEFFREY K. LANDER, M.D., PH.D., INC.

Practice address

16300 Sand Canyon Ave
Suite 612
Irvine, CA 92618-3711

Phone

(949) 753-1001

Fax

(949) 753-1114

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey K Lander, M.D.

Title

Owner

Phone

(949) 766-3426

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1265604581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 612",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "telephone_number": "949-753-1001",
            "fax_number": "949-753-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 612",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "telephone_number": "949-753-1001",
            "fax_number": "949-753-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY K. LANDER, M.D., PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "LANDER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-766-3426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A93332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W22392",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Azka Ebrahim Jeewa
• Jeffrey C Robertson Ddsinc
• Evan Christopher Jeffries, DPT
• Adrienne Jenkins
• Herbert D Jennings, MD
• Jessica Jennings
• Robert Stephen Jennings, M.D., FAAFP

• Specialist in Irvine, CA
• Providers in Irvine, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.