Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDER ROBERT JACK, M.D.
ActiveALEXANDER ROBERT JACK, M.D. is a Dermatology healthcare provider located in LADERA RANCH, California. NPI 1346482627 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LADERA RANCH, CA
Registration Details
- NPI Number
- 1346482627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2009 (17.410506302307 yrs)
- Last Updated
- Dec 22, 2022
- License
-
C179601 (CA)
Practice Information
- Address
-
600 CORPORATE DR STE 240LADERA RANCH, CA, 926942111Browse CA providers · Browse ZIP 92694
- Phone
- 9493648411
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in LADERA RANCH, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ELIZABETH V LENER | M.D. | 1912998196 |
| LUCAS G BINGHAM | M.D. | 1295700987 |
| JANE G. KHOURY | M.D. | 1245246214 |
| STEPHANIE KELTER FOGELSON | MD | 1942488267 |
| JYOTI PATHRIA MUNDI | M.D. | 1104078310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.