Individual
JEREMY SZYMANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24451 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3689
(949) 263-8620
(949) 263-1639
Mailing address
DEPT LA 21650, PASADENA, CA 91185-1650
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A78329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A783290
BLUE SHIELD
CA
Enumeration date
05/09/2006
Last updated
11/30/2007
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