Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 24753 | CA |
N | 213EG0000X | General Practice | 24753 | CA |
N | 1223P0106X | Oral and Maxillofacial Pathology | 24753 | CA |
NPI | 1699831743 |
---|---|
Provider Name | Dr. Jeffrey Edward Calhoun |
First Address | Lompoc, CA 93436-7081 |
Second Address | Lompoc, CA 93436-7081 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2006 |
Last Update Date | 08/07/2007 |