Individual
JILL MARIE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
752 MEDICAL CENTER CT, SUITE 302, CHULA VISTA, CA 91911-6658
(619) 421-3361
(619) 869-4378
Mailing address
4225 EXECUTIVE SQ STE 450, LA JOLLA, CA 92037-8411
(858) 810-0000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A95882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BK987Z
SO. CALIFORNIA PTAN
CA
Enumeration date
04/07/2006
Last updated
01/29/2021
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