Dr. Jeffrey Keith Lander
Dermatologist MOHS-Micrographic Surgeon
16300 Sand Canyon Ave Suite 612
Irvine
, California 92618-3711
Dr. Jeffrey Keith Lander
Dermatologist MOHS-Micrographic Surgeon
16300 Sand Canyon Ave Suite 612
Irvine
, California 92618-3711
(949) 485-1812
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Keith Lander
- Po Box 3602
- San Clemente, CA
- Zip : 92674-3602
- Phone : (949) 485-1812
Second Address
- Dr. Jeffrey Keith Lander
- 16300 Sand Canyon Ave Suite 612
- Irvine, CA
- Zip : 92618-3711
- Fax : (949) 753-1115
- Phone : (949) 753-1001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | A93332 | CA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | A93332 | CA |
National Provider Identifier
| NPI | 1174566046 |
|---|---|
| Provider Name | Dr. Jeffrey Keith Lander |
| First Address | San Clemente, CA 92674-3602 |
| Second Address | Irvine, CA 92618-3711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 16/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 153701 | (02) | CA |
| WA93332B | MEDICARE PTAN (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.