Individual
JEFFRY JACOB MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6719 ALVARADO RD STE 308, SAN DIEGO, CA 92120-5268
(619) 265-7912
Mailing address
6719 ALVARADO RD STE 308, SAN DIEGO, CA 92120-5268
(619) 265-7912
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4351036470
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A178578
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
12/16/2022
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