person
Jeffrey Lawrence Ballard, MD
Vascular Surgery Physician in Orange, California
NPI 1205837200

Jeffrey Lawrence Ballard is a Vascular Surgery Physician based in Orange, CA and is specialized in Vascular Surgery. Jeffrey Lawrence Ballard practices in Orange, CA and has the professional credentials of MD. The NPI Number for Jeffrey Lawrence Ballard is 1205837200 and holds a License No. G61836 (California).

The current practice location address for Jeffrey Lawrence Ballard is 1140 W La Veta Ave, Orange, CA and can be reached out via phone at 714-560-4450 and via fax at 714-560-4455. You can also correspond with Jeffrey Lawrence Ballard through the mailing address at PO BOX 6898, ORANGE, CA - 92863-6898 (mailing address contact number: 714-571-5000).

Location: 1140 W La Veta Ave, Orange, CA, 92863-6898
person
Provider Profile Details
NPI Number
1205837200
Provider Name
Jeffrey Lawrence Ballard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1140 W La Veta Ave, Orange, CA, 92863-6898
Phone Number
714-560-4450
Fax Number
714-560-4455
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G618360 05 CA
050069CD43675 01 TRAILBLAZER
00G618360 01 BLUE SHIELD OF CA
00G618360 M46 01 CALOPTIMA
P00139413 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1140 W La Veta Ave
City
State
Zip
92868-4225
Phone Number
714-560-4450
Fax Number
714-560-4455
person
Provider Business Mailing Address Details
Address
1140 W La Veta Ave
City
State
Zip
92868-4225
Phone Number
714-560-4450
Fax Number
714-560-4455
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
G61836 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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