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JEFFREY B MUNDORF MD INC. NPI 1831236306


NPI Information

NPI: 1831236306
Provider Name: JEFFREY B MUNDORF, MD, INC.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1551 BISHOP ST
SUITE 230
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 549-0784
Get Directions

JEFFREY B MUNDORF, MD, INC. is a gastroenterology internal medicine in San Luis Obispo, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. JEFFREY B MUNDORF, MD, INC. NPI is 1831236306. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1551 BISHOP ST
SUITE 230
SAN LUIS OBISPO, CA
ZIP 93401-635
Phone: (805) 549-0784
Fax: (805) 786-4220

The provider's authorized official is Jeffrey B Mundorf .
The authorized official title is Physician and has the following contact phone number (805) 549-0784.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 12/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W17958MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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