Individual
DR. JEFFREY A HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8312 LAKE MURRAY BLVD, STE C, SAN DIEGO, CA 92119
(619) 697-0481
Mailing address
8312 LAKE MURRAY BLVD, STE C, SAN DIEGO, CA 92119
(619) 697-0481
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
6242T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDI-CAL SUPPLIER
81506001
CA
01
—
SD 0062420
MEDI-CAL
CA
Enumeration date
04/12/2006
Last updated
03/07/2023
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