Individual
DR. JEREMY MASON HIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103
(858) 822-6100
(858) 822-6146
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A85801
CA
2084P0800X
Psychiatry Physician
Primary
A85801
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A85801
CA
Other
Enumeration date
05/11/2006
Last updated
06/01/2018
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