Individual
JAIME NERI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2251 N HARBOR BLVD, FULLERTON, CA 92835-2601
(714) 449-6230
Mailing address
2251 N HARBOR BLVD, FULLERTON, CA 92835-2601
(714) 449-6230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18188
PA LICIENCE NUMBER
CA
Enumeration date
10/26/2007
Last updated
03/07/2022
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