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Organization
ALFRED DARRYL JUMPER M.D. A PROFESSIONAL CORPORATION
Active
Organization
ALFRED DARRYL JUMPER M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED DARRYL JUMPER M.D. (PRESIDENT)
(310) 845-0208
Entity
Organization
Contact information
Practice address
9675 BRIGHTON WAY, 100, BEVERLY HILLS, CA 90210-5100
(310) 275-1646
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C409610
BLUE SHIELD
CA
05
—
00C409610
—
CA
Enumeration date
08/05/2006
Last updated
01/11/2013
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