Organization
A. JAMES BEHREND MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT JAMES BEHREND M.D. (PRESIDENT)
(619) 462-5916
Entity
Organization
Contact information
Practice address
450 STABLERIDGE ST, EL CAJON, CA 92019-1245
(619) 462-5916
(619) 334-1313
Mailing address
PO BOX 2005, EL CAJON, CA 92021-0005
(619) 462-5916
(619) 334-1313
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C40277
CA
2086S0129X
Vascular Surgery Physician
C40277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
TRIWEST
CA
05
—
00C402770
—
CA
Enumeration date
06/25/2006
Last updated
06/22/2010
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