Individual
DR. JERRY HAPPY THRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2204 GARNET AVE STE 209C, SAN DIEGO, CA 92109-3771
(949) 439-0455
(619) 292-0584
Mailing address
4231 BALBOA AVE # 302, SAN DIEGO, CA 92117-5504
(949) 439-0455
(619) 292-0584
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G66280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G662800
—
CA
Enumeration date
04/12/2006
Last updated
11/03/2023
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