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Individual

DR. JESUS HERRERA LAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6699 ALVARADO RD STE 2304, SAN DIEGO, CA 92120-5241
(619) 255-8800
(619) 255-8083
Mailing address
6699 ALVARADO RD STE 2304, SAN DIEGO, CA 92120-5241
(619) 255-8800
(619) 255-8083

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A72729
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A72729
CA
208VP0000X
Pain Medicine Physician
Primary
A72729
CA
208VP0014X
Interventional Pain Medicine Physician
A72729
CA

Other

Enumeration date
06/03/2006
Last updated
08/01/2022
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