IndividualActive
Jack Seeburger
NPI 1255344727 · MOHS-Micrographic Surgery Physician · Loma Linda, CA
Provider details
- NPI number
- 1255344727
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- G083506 (CA)
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Phone: (909) 825-7084
Fax: (909) 777-3225
Mailing address
206 Orchid Ct
Redlands, CA 92373-6130
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.