Individual
JAY HAMMOND SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4783 ADAIR ST, SAN DIEGO, CA 92107-3807
(858) 775-3041
Mailing address
1701 MISSION AVE, OCEANSIDE, CA 92058-7102
(858) 775-3041
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C36420
CA
Other
Enumeration date
01/22/2007
Last updated
01/05/2012
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