Organization
JERALD I SIMON, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD IRA SIMON M.D. (PRACTICIONER)
(310) 375-8501
Entity
Organization
Contact information
Practice address
24050 MADISON ST, SUITE 217, TORRANCE, CA 90505-6015
(310) 375-8501
Mailing address
4272 STALWART DR, RANCHO PALOS VERDES, CA 90275-6025
(310) 541-3164
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C25358
CA
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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