Jerry Rand Apmc
Clinic/Center, Infusion Therapy in San Diego, CA. Organization (NPI-2).
NPI number1427140367
StatusActive
Last updated in NPPESNov 29, 2007
Details
- NPI
- 1427140367
- Entity type
- Organization (NPI-2)
- Legal business name
- Jerry Rand Apmc
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Nov 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QI0500X | Clinic/Center, Infusion Therapy | G25749 | CA | Yes |
| 261QP3300X | Clinic/Center, Pain | BR7775868 | CA | |
| 324500000X | Substance Abuse Rehabilitation Facility | 370055AP | CA |
Other names
- Rand Institution For Recovery (Doing Business As)
Practice location
4241 Jutland DrSuite 202
San Diego, CA 92117-3663
Phone 858-274-6633 · Fax 858-274-6643
Mailing address
4241 Jutland DrSuite 202
San Diego, CA 92117-3663
Phone 858-274-6633 · Fax 858-274-6643
Authorized official
Jerry Neil Rand
Medical Director
8582746633
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