COLIN X JAIRAM MD INC NPI 1093126609

NPI Information

  • NPI: 1093126609
  • Provider Name: COLIN X JAIRAM MD INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: HYBRID MD
  • Address: 1031 AVENIDA PICO
    SUTIE 103
    SAN CLEMENTE, CA
    ZIP 92673
  • Phone: (202) 904-8490

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NPI Details

COLIN X JAIRAM MD INC is a family medicine in San Clemente, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COLIN X JAIRAM MD INC NPI is 1093126609. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hybrid Md.

The provider's business location address is:

1031 AVENIDA PICO
SUTIE 103
SAN CLEMENTE, CA
ZIP 92673-352
Phone: (202) 904-8490

The provider's authorized official is Colin Xephary Jairam .
The authorized official title is President and has the following contact phone number (949) 429-1919.

The enumeration date for this NPI number is 5/16/2014 and was last updated on 1/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA101534CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BH749ZMEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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