Individual
COLIN XEPHARY JAIRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1031 AVENIDA PICO, SUITE 103, SAN CLEMENTE, CA 92673-6352
(949) 429-1919
Mailing address
1031 AVENIDA PICO, SUITE 103, SAN CLEMENTE, CA 92673-6352
(949) 429-1919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A101534
CA
207Q00000X
Family Medicine Physician
A101534
CA
Other
Enumeration date
12/20/2007
Last updated
09/29/2014
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