JEROME C HALL M D INC; NPI #1275777914

Contact Information

JEROME C HALL M D INC

3702 RUFFIN ROAD
SUITE 101
SAN DIEGO, CA 92123

Phone: 619-326-0610
Fax: 619-326-0616
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for JEROME C HALL M D INC

NPI Number 1275777914

LBN Legal business name JEROME C HALL M D INC

Authorized official JEROME HALL - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/24/2009

Last updated 07/29/2024 - More than a year ago

Identifiers

CA	License #	G85854
CA	Other	1962425777	INDIVIDUAL NPI

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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