Organization
COLIN X JAIRAM MD INC
Active
Other names
Hybrid MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN XEPHARY JAIRAM M.D. (PRESIDENT)
(949) 429-1919
Entity
Organization
Contact information
Practice address
1031 AVENIDA PICO, SUTIE 103, SAN CLEMENTE, CA 92673-6352
(202) 904-8490
Mailing address
1031 AVENIDA PICO, SUTIE 103, SAN CLEMENTE, CA 92673-6352
(949) 429-1919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A101534
CA
Other
Enumeration date
05/16/2014
Last updated
01/10/2017
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