Provider Demographics
NPI:1194914176
Name:J. MARGO JAFFE ORR, M.D., INC.
Entity type:Organization
Organization Name:J. MARGO JAFFE ORR, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:J. MARGO
Authorized Official - Middle Name:JAFFE
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-305-9950
Mailing Address - Street 1:27725 SANTA MARGARITA PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6707
Mailing Address - Country:US
Mailing Address - Phone:949-305-9950
Mailing Address - Fax:949-305-9988
Practice Address - Street 1:27725 SANTA MARGARITA PKWY
Practice Address - Street 2:SUITE 220
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6707
Practice Address - Country:US
Practice Address - Phone:949-305-9950
Practice Address - Fax:949-305-9988
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J. MARGO JAFFE ORR, M.D., INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-16
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67463207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE30359Medicare UPIN
CAW16676Medicare PIN