Individual
JERRY MENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A95255
CA
207R00000X
Internal Medicine Physician
M-10981
ID
207RN0300X
Nephrology Physician
A95255
CA
207RN0300X
Nephrology Physician
Primary
M-10981
ID
Other
Enumeration date
12/08/2006
Last updated
05/16/2018
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