Individual
DR. JEREMY ELLIOT ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4520 EXECUTIVE DR, SAN DIEGO, CA 92121-3018
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A111366
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A111366
CA
207RP1001X
Pulmonary Disease Physician
A111366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992940969
—
CA
Enumeration date
12/04/2008
Last updated
06/27/2024
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