Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | G73875 | CA |
NPI | 1366450785 |
---|---|
Provider Name | Dr. Jeffrey Scott Schiffman |
First Address | Escondido, CA 92025-3431 |
Second Address | Escondido, CA 92025-3431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G738750 | BLUE SHIELD (01) | CA |
00G738751 | (05) | CA |
330625152 | TRICARE (01) | CA |
F43493 | (02) | CA |