Jeffry Jacob Mercado, M.D.
Physical Medicine & Rehabilitation in San Diego, CA. Individual provider (NPI-1).
NPI number1669908562
StatusActive
Last updated in NPPESDec 16, 2022
Details
- NPI
- 1669908562
- Entity type
- Individual (NPI-1)
- Name
- Jeffry Jacob Mercado
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2017
- Certification date
- Dec 16, 2022
- Last updated
- Dec 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | A178578 | CA | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 4351036470 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Jeffry Jacob Mercado (Other Name)
Practice location
6719 Alvarado Rd Ste 308San Diego, CA 92120-5268
Phone 619-265-7912
Mailing address
6719 Alvarado Rd Ste 308San Diego, CA 92120-5268
Phone 619-265-7912
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