# ALFRED DARRYL JUMPER M.D. A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740299114
- **Authorized official:** ALFRED DARRYL JUMPER M.D. (PRESIDENT)
- **Authorized official phone:** (310) 845-0208

## Contact information

- **Practice address:** 9675 BRIGHTON WAY, 100, BEVERLY HILLS, CA 90210-5100
- **Practice address phone:** (310) 275-1646
- **Mailing address:** PO BOX 60790, PASADENA, CA 91116-6790
- **Mailing address phone:** (626) 795-6596
- **Mailing address fax:** (626) 795-8247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | CA | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 01/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00C409610 | BLUE SHIELD | CA |
| 05 | — | 00C409610 | — | CA |