Mefferd, Jean M
Mefferd, Jean M is an individual health care provider with primary practice located at 9888 Genesee Ave Department Of Radiation Oncology, La Jolla CA 92037-1276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Mefferd, Jean M can be contacted via phone (858) 626-6864.Contact Information
Primary practice address
9888 Genesee Ave Department Of Radiation Oncology
La Jolla CA 92037-1276
Phone: (858) 626-6864
Fax: (760) 599-9549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | G50161 | California |
Profile Details
| NPI number | 1629062625 |
|---|---|
| LBN Legal business name | Mefferd, Jean M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Apr 9th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629062625 | NPPES |
| California | MEDICAID | 00G501610 |
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