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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.

Location: 4241 Jutland Dr, San Diego, CA, 92117-3663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
San Diego
State
California
Zip
92117-3663
Phone Number
858-274-6633
Fax Number
858-274-6643
person
Provider Business Mailing Address Details
Address
4241 Jutland Dr
City
San Diego
State
California
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
261QI0500X
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
261QP3300X
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
324500000X
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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