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

Jennifer Poehler Eastlack, MD

Individual provider Dermatology Physician · NPI 1740211077

Jennifer Poehler Eastlack, MD is a Dermatology in San Diego, California. Graduated from Baylor College of Medicine in 1999, 27 years ago. Practices with Del Mar Med a Medical Corporation, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Trained at
Baylor College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12395 El Camino Real Ste 200
San Diego, CA 92130-3082
Phone: (858) 481-3376
Fax: (858) 755-5947
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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 A75157 (CA)

Record details

NPI number1740211077
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESMay 3, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Del Mar Med A Medical Corporation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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