Organization
JEROME C HALL M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME C HALL MD (PRESIDENT)
(858) 467-0610
Entity
Organization
Contact information
Practice address
3702 RUFFIN ROAD, SUITE 101, SAN DIEGO, CA 92123
(619) 326-0610
(619) 326-0616
Mailing address
3702 RUFFIN ROAD, STE 101, SAN DIEGO, CA 92123
(858) 467-0610
(858) 268-0616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G85854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962425777
INDIVIDUAL NPI
CA
Enumeration date
04/24/2009
Last updated
07/29/2024
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