Individual
JORY JAMES ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
22431 ANTONIO PKWY # B160-613, RANCHO SANTA MARGARITA, CA 92688-2804
(855) 727-2251
(855) 727-2251
Mailing address
5085 CAMINITO EXQUISITO, SAN DIEGO, CA 92130-2851
(858) 209-9285
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110002794
VA
363AS0400X
Surgical Physician Assistant
10725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922269521
—
VA
01
—
51612
LICENSE
CA
Enumeration date
06/17/2008
Last updated
11/22/2024
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