ALEXANDER ROBERT JACK M.D.
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1346482627- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 600 CORPORATE DR STE 240, LADERA RANCH, CA, 926942111
- Phone
- (949) 364-8411
Specialties & Taxonomies
Dermatology
Primary License: CA #C179601