Individual
DR. JEFFREY PAUL SUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 521-2350
(858) 521-2354
Mailing address
300 FIR ST, SAN DIEGO, CA 92101-2327
(858) 499-2600
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
20A5303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX53030
—
CA
Enumeration date
08/31/2006
Last updated
05/03/2019
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