Individual
DR. JERRY DANIEL AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 5TH AVE, SAN DIEGO, CA 92101-2139
(619) 683-9394
(619) 683-9228
Mailing address
2121 5TH AVE STE 105, SAN DIEGO, CA 92101-2139
(619) 683-9394
(619) 683-9228
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A42793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A427930
MEDI-CAL PROVIDER NUMBER
CA
01
—
00A427931
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
01/13/2007
Last updated
07/17/2012
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