institution
Jerry Rand Apmc
Substance Abuse Rehabilitation Facility in San Diego, California
NPI 1427140367

Jerry Rand Apmc is a Substance Abuse Rehabilitation Facility based in San Diego, CA. Jerry Rand Apmc practices in San Diego, CA. The NPI Number for Jerry Rand Apmc is 1427140367 and holds a License No. G25749 (California).

The current practice location address for Jerry Rand Apmc is 4241 Jutland Dr, San Diego, CA and can be reached out via phone at 858-274-6633 and via fax at 858-274-6643. You can also correspond with Jerry Rand Apmc through the mailing address at 4241 JUTLAND DR, SAN DIEGO, CA - 92117-3663 (mailing address contact number: 858-274-6633).

Location: 4241 Jutland Dr, San Diego, CA, 92117-3663
institution
Provider Profile Details
NPI Number
1427140367
Provider Name
Jerry Rand Apmc
Credential
Provider Entity Type
Organization
Address
4241 Jutland Dr, San Diego, CA, 92117-3663
Phone Number
858-274-6633
Fax Number
858-274-6643
Provider Enumeration Date
09/28/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G25749 01 CA STATE ID
institution
Provider Business Practice Location Address Details
Address
4241 Jutland Dr
City
State
Zip
92117-3663
Phone Number
858-274-6633
Fax Number
858-274-6643
person
Provider Business Mailing Address Details
Address
4241 Jutland Dr
City
State
Zip
92117-3663
Phone Number
858-274-6633
Fax Number
858-274-6643
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
License No.
370055AP (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
License No.
BR7775868 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
G25749 (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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