Dr. Jeffrey S. Eaton
MOHS-Micrographic Surgeon
12395 El Camino Real Suite 200
San Diego
, California 92130-3082
Dr. Jeffrey S. Eaton
MOHS-Micrographic Surgeon
12395 El Camino Real Suite 200
San Diego
, California 92130-3082
(858) 755-6647
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffrey S. Eaton
- 12395 El Camino Real Suite 200
- San Diego, CA
- Zip : 92130-3082
- Phone : (858) 755-6647
Second Address
- Dr. Jeffrey S. Eaton
- 12395 El Camino Real Suite 200
- San Diego, CA
- Zip : 92130-3082
- Phone : (858) 755-6647
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | A61523 | CA |
National Provider Identifier
| NPI | 1316913650 |
|---|---|
| Provider Name | Dr. Jeffrey S. Eaton |
| First Address | San Diego, CA 92130-3082 |
| Second Address | San Diego, CA 92130-3082 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 18/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A615230 | (05) | CA |
| H42815 | (02) | CA |
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.