Fred J Simon, Jr., M.D.

LBN: Fred J Simon, Jr., M.D.
Fred J Simon, Jr., M.D. is an health care organization with primary practice located at 9888 Genesee Ave Lj-601, La Jolla CA 92037-1205. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Fred J Simon, Jr., M.D. can be contacted via phone (858) 626-6362, or through Simon, Fred J. via phone (858) 626-6362.

Contact Information

Primary practice address
9888 Genesee Ave Lj-601 La Jolla CA 92037-1205
Phone: (858) 626-6362
Fax: (858) 626-6354
Website:
Map and Directions
Authorized official contact:
Name: Simon, Fred J. Doctor of Medicine (MD)
Phone: (858) 626-6362

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C42394 California

Profile Details

NPI number 1811176837
LBN Legal business name Fred J Simon, Jr., M.D.
DBA Doing business as
Authorized official Simon, Fred J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated Nov 5th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811176837 NPPES
California MEDICAID 00C423940

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