Organization
DENNIS C. JEROME M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS C. JEROME M.D. (PRESIDENT)
(714) 963-5163
Entity
Organization
Contact information
Practice address
5901 E 7TH ST, 111A, LONG BEACH, CA 90822-5201
(562) 826-5485
(562) 826-5485
Mailing address
20302 EASTWOOD CIR, HUNTINGTON BEACH, CA 92646-4719
(714) 963-5163
(714) 963-5163
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
C 34461
CA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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