Individual
DR. JACK JAMES BAIRAMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(585) 659-4418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A110103
CA
207L00000X
Anesthesiology Physician
ME113345
FL
207LP3000X
Pediatric Anesthesiology Physician
ME113345
FL
Other
Enumeration date
06/07/2008
Last updated
05/10/2020
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