Organization
JERRY RAND APMC
Active
Other names
Rand Institution for Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY NEIL RAND M.D. (MEDICAL DIRECTOR)
(858) 274-6633
Entity
Organization
Contact information
Practice address
4241 JUTLAND DR, SUITE 202, SAN DIEGO, CA 92117-3663
(858) 274-6633
(858) 274-6643
Mailing address
4241 JUTLAND DR, SUITE 202, SAN DIEGO, CA 92117-3663
(858) 274-6633
(858) 274-6643
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
G25749
CA
261QP3300X
Pain Clinic/Center
BR7775868
CA
324500000X
Substance Abuse Rehabilitation Facility
370055AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G25749
STATE ID
CA
Enumeration date
09/28/2006
Last updated
11/29/2007
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