Individual
DR. JEROME STENEHJEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8765 AERO DR STE 310, SAN DIEGO, CA 92123-1767
(858) 541-4480
(858) 541-4452
Mailing address
8765 AERO DR STE 310, SAN DIEGO, CA 92123-1767
(858) 541-4480
(858) 541-4452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G55883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4401818
—
CA
Enumeration date
05/16/2007
Last updated
06/21/2022
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