Jennifer P Eastlack (NPI# 1740211077, PAC ID# 3274425483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1740211077 |
| PAC ID by PECOS | 3274425483 |
| Professional Enrollment ID | I20040324001861 |
| Full Name | Jennifer P Eastlack |
| Organization Legal Name | DEL MAR MED A MEDICAL CORPORATION |
| Address |
12395 El Camino Real Suite 200 San Diego CA 92130-3082 |
| Phone Number | 8587556647 |
| Gender | F |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6002919651 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12395 El Camino Real, Suite 200, San Diego, CA 92130-3082 | 8587556647 | DEL MAR MED A MEDICAL CORPORATION |
| Organization Legal Name | DEL MAR MED A MEDICAL CORPORATION |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey S Eaton | Otolaryngology | Del Mar Med A Medical Corporation | 12395 El Camino Real, Suite 200, San Diego, CA 92130-3082 |
| Dina R Massry | Dermatology | Del Mar Med A Medical Corporation | 12395 El Camino Real, Suite 200, San Diego, CA 92130-3082 |
| Street Address |
12395 EL CAMINO REAL SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92130-3082 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria J Szmidt | General Practice | 12395 El Camino Real, Suite 100, San Diego, CA 92130-3082 | |
| Nancy B Moy | Nurse Practitioner | Scripps Health | 12395 El Camino Real, Suite 317, San Diego, CA 92130-3085 |
| Jeffrey S Eaton | Otolaryngology | Del Mar Med A Medical Corporation | 12395 El Camino Real, Suite 200, San Diego, CA 92130-3082 |
| Gregory R Banks | Physical Therapy | Water and Sports Physical Therapy Inc | 12395 El Camino Real, Suite 111, San Diego, CA 92130-3083 |
| Dina R Massry | Dermatology | Del Mar Med A Medical Corporation | 12395 El Camino Real, Suite 200, San Diego, CA 92130-3082 |
| Gary D Peterson | Physician Assistant | Jason R. Lupton, M.d., Inc. | 12395 El Camino Real, Suite 207, San Diego, CA 92130-3083 |
| Jason R Lupton | Dermatology | Jason R. Lupton, M.d., Inc. | 12395 El Camino Real, Suite 207, San Diego, CA 92130-3083 |
| Li Fan | Obstetrics/gynecology | 12395 El Camino Real, Suite 117, San Diego, CA 92130-3083 | |
| Michael W Lee | Endocrinology | Scripps Health | 12395 El Camino Real, Suite 317, San Diego, CA 92130-3085 |
| Edwin S Chen | Ophthalmology | 12395 El Camino Real, Suite 300, San Diego, CA 92130-3085 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Youngsun Kim | Physical Therapy | Kim Physical Therapy Associates PC | 12925 El Camino Real, Suite J27, San Diego, CA 92130-1048 |
| Eunjin Kang | Physical Therapy | Kim Physical Therapy Associates PC | 12925 El Camino Real, Suite J27, San Diego, CA 92130-1048 |
| Annette M Conway | Psychologist, Clinical | 13004 Brixton Pl, San Diego, CA 92130-1325 | |
| Shant A Barmak | Clinical Psychologist | 13138 Sunset Point Way, San Diego, CA 92130-1362 | |
| Colette Marie Seymann | Physical Therapy | 12707 High Bluff Dr, Suite 200, San Diego, CA 92130-2037 | |
| Michele London | Clinical Social Worker | 12520 High Bluff Dr, Suite 135, San Diego, CA 92130-2041 | |
| Lynn M Dubenko | Psychologist, Clinical | 11622 El Camino Real, Suite 100, San Diego, CA 92130-2051 | |
| Adrianne Ahern-grundland | Psychologist, Clinical | 11622 El Camino Real, Suite 100, San Diego, CA 92130-2051 | |
| Susan Lagasse | Psychologist, Clinical | Lagasse Yates Inc | 12625 High Bluff Dr, Suite 206, San Diego, CA 92130-2053 |
| A-lisa Shay Miles | Psychologist, Clinical | 12625 High Bluff Dr, Suite 201, San Diego, CA 92130-2053 | |
| Find all physicians in zip 92130 | |||
| City | SAN DIEGO |
| Zip Code | 92130 |
| Specialty | DERMATOLOGY |
| City + Specialty | SAN DIEGO + DERMATOLOGY |
Please comment or provide details below to improve the information on Jennifer P Eastlack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.