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Mr. Jay Beckett Federhart, MD
Vascular & Interventional Radiology Physician in San Diego, California
NPI 1568422558

Jay Beckett Federhart is a Vascular & Interventional Radiology Physician based in Los Angeles, CA and is specialized in Vascular & Interventional Radiology. Jay Beckett Federhart practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Jay Beckett Federhart is 1568422558 and holds a License No. G84686 (California).

The current practice location address for Jay Beckett Federhart is 200 W Arbor Dr, San Diego, CA and can be reached out via phone at 800-926-8273 and via fax at 888-539-8781.

Location: 200 W Arbor Dr, San Diego, CA, 90074-7326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568422558
Provider Name
Jay Beckett Federhart
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 W Arbor Dr, San Diego, CA, 90074-7326
Phone Number
800-926-8273
Fax Number
888-539-8781
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G846860 05 CA
G84686 01 CA BC/BS OF CA
1568422558 05 CA
institution
Provider Business Practice Location Address Details
Address
200 W Arbor Dr
City
San Diego
State
California
Zip
92103-9000
Phone Number
800-926-8273
Fax Number
888-539-8781
person
Provider Business Mailing Address Details
Address
200 W Arbor Dr
City
San Diego
State
California
Zip
92103-9000
Phone Number
800-926-8273
Fax Number
888-539-8781
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G84686 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
G84686 (California)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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