Individual
DR. JEROME SAMUEL LITVINOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6536 CRYSTALAIRE DR, SAN DIEGO, CA 92120-3902
(619) 583-1200
(619) 583-8903
Mailing address
6536 CRYSTALAIRE DR, SAN DIEGO, CA 92120-3902
(619) 583-1200
(619) 583-8903
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G20193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G201930
—
CA
Enumeration date
04/05/2006
Last updated
04/03/2013
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