Provider Demographics
NPI:1386148542
Name:FERRELL, JEFFREY ERNEST (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:ERNEST
Last Name:FERRELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:453 QUARRY RD FL 3
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1419
Mailing Address - Country:US
Mailing Address - Phone:650-725-6550
Mailing Address - Fax:415-728-9704
Practice Address - Street 1:730 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1503
Practice Address - Country:US
Practice Address - Phone:650-721-1811
Practice Address - Fax:650-725-8375
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2024-11-06
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Provider Licenses
StateLicense IDTaxonomies
CAA1642632080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology