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JEFFREY BODWIN MD
NPI 1932195476
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fullerton, CA

Active since September 20, 2005
100 E VALENCIA MESA DR, SUITE 105, FULLERTON, CA 92835(714) 446-5640(714) 446-5625 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey Bodwin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY BODWIN MD (NPI 1932195476) is an individual endocrinology, diabetes & metabolism provider in Fullerton, California, licensed in California (G46166) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1932195476
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJEFFREY BODWINCredential: MD
Location Address100 E VALENCIA MESA DR, SUITE 105Fullerton, CA 92835-3813
Mailing Address279 Imperial Hwy, Suite 730Fullerton, CA 92835-1041 · (714) 449-4841 · Fax (714) 449-4956
Phone(714) 446-5640
Fax(714) 446-5625
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateApril 26, 2013
✔ NPI 1932195476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · G46166
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License G46166 (CA)
100 E VALENCIA MESA DR, Fullerton, CA 92835
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Other Identifiers 2

Medicare PINWG46166FCA
Medicare UPINA50310CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW TIEN DUKE M.D.
Internal Medicine (Critical Care Medicine)
100 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 992-3969
BOWEN JIANG M.D.
Neurological Surgery
100 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 734-3120
CHIKA KAWASHIMA
Physician Assistant
100 E VALENCIA MESA DR, SUITE 310
FULLERTON, CA 92835
Orange County (714) 446-5527
MONICA MARTYN RD
Dietitian, Registered
100 E VALENCIA MESA DR, SUITE 111
FULLERTON, CA 92835
Orange County (714) 446-5369
BENJAMIN ROTHMAN A PHARMACY CORPORATION
Pharmacy (Community/Retail Pharmacy)
100 E VALENCIA MESA DR, SUITE 106
FULLERTON, CA 92835
Orange County (714) 992-1234
EUGENE BYUN MD
Internal Medicine (Interventional Cardiology)
100 E VALENCIA MESA DR, SUITE 206
FULLERTON, CA 92835
Orange County (714) 446-5050
RENEE M. SODERQUIST RD
Dietitian, Registered
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 92835
Orange County (714) 446-5640
DENNIS WAYNE BRILEY PA
Physician Assistant (Surgical)
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 92835
Orange County (714) 446-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Bodwin's NPI number?

The NPI number for Jeffrey Bodwin is 1932195476. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Jeffrey Bodwin located?

Jeffrey Bodwin practices at 100 E Valencia Mesa Dr Suite 105, Fullerton, CA 92835. The listed phone number is (714) 446-5640.

What is Jeffrey Bodwin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Jeffrey Bodwin was last updated on April 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.