Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Bodwin, MD

Individual provider Internal Medicine Physician · NPI 1932195476

Jeffrey Bodwin, MD is an Internal Medicine Physician in Fullerton, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 E Valencia Mesa Dr Ste 105
Fullerton, CA 92835-3813
Phone: (714) 446-5640
Fax: (714) 446-5625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence G46166 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence G46166 (CA)

Record details

NPI number1932195476
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESApril 26, 2013
Mailing address279 Imperial Hwy, Suite 730, Fullerton, CA 92835-1041

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