Alexander Robert Jack, MD
Alexander Robert Jack, MD is a Dermatology in Ladera Ranch, California. Graduated from University of Southern California Keck School of Medicine in 2009, 17 years ago. Practices with Elizabeth V Lener MD Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 17
- Trained at
- University of Southern California Keck School of Medicine
- Licensed in
- CA
- In the registry since
- 2009
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
600 Corporate Dr Ste 240Ladera Ranch, CA 92694-2111
Phone: (949) 364-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence C179601 (CA) |
|---|
Record details
| NPI number | 1346482627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 1, 2009 |
| Last updated in NPPES | December 22, 2022 |
| Certification date | December 22, 2022 |
| Mailing address | Po Box 5127, Everett, WA 98206-5127 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE |
| Graduated | 2009 (17 years in practice) |
| Group practice | Elizabeth V Lener Md Inc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ladera Ranch
-
Lucas G Bingham, MD
600 Corporate Dr Ste 100, Ladera Ranch, CA 92694-2106 · (949) 388-8022
-
Elizabeth V Lener, MD, Inc
600 Corporate Dr Ste 240, Ladera Ranch, CA 92694-2111 · (949) 364-8411
-
Stephanie Kelter Fogelson, MD
600 Corporate Dr Ste #240, Ladera Ranch, CA 92694-2106 · (949) 364-8411
-
Dr. Dana Marie Hutchison, MD
600 Corporate Dr Ste 240, Ladera Ranch, CA 92694-2111 · (949) 364-8411
-
Dr. Elizabeth V Lener, MD
600 Corporate Dr Ste 240, Ladera Ranch, CA 92694-2111 · (949) 364-8411
-
Lucas Bingham MD, Inc
600 Corporate Dr Ste 100, Ladera Ranch, CA 92694 · (949) 388-8022
-
Jyoti Pathria Mundi, MD
600 Corporate Dr Ste 240, Ladera Ranch, CA 92694-2111 · (949) 364-8411