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Jerry I Nam, MD
Neuroradiology Physician in Riverside, California
NPI 1972565000

Jerry I Nam is a Neuroradiology Physician based in Riverside, CA and is specialized in Neuroradiology. Jerry I Nam practices in Riverside, CA and has the professional credentials of MD. The NPI Number for Jerry I Nam is 1972565000 and holds a License No. J6616 (California).

The current practice location address for Jerry I Nam is 4445 Magnolia Ave, Riverside, CA and can be reached out via phone at 951-788-3400 and via fax at 979-774-7871. You can also correspond with Jerry I Nam through the mailing address at 4445 MAGNOLIA AVE, RIVERSIDE, CA - 92501-4135 (mailing address contact number: 951-788-3400).

Location: 4445 Magnolia Ave, Riverside, CA, 92501-4135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972565000
Provider Name
Jerry I Nam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4445 Magnolia Ave, Riverside, CA, 92501-4135
Phone Number
951-788-3400
Fax Number
979-774-7871
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118679302 05 TX
institution
Provider Business Practice Location Address Details
Address
4445 Magnolia Ave
City
Riverside
State
California
Zip
92501-4135
Phone Number
951-788-3400
Fax Number
979-774-7871
person
Provider Business Mailing Address Details
Address
4445 Magnolia Ave
City
Riverside
State
California
Zip
92501-4135
Phone Number
951-788-3400
Fax Number
979-774-7871
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
J6616 (Texas)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
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