Organization
JERRY RAND APMC
Active
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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