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JERRY RAND APMC NPI 1427140367


NPI Information

NPI: 1427140367
Provider Name: JERRY RAND APMC

Doing Business As: RAND INSTITUTION FOR RECOVERY

Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
4241 JUTLAND DR
SUITE 202
SAN DIEGO, CA
ZIP 92117
Phone: (858) 274-6633
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JERRY RAND APMC is an infusion therapy clinic center in San Diego, CA. JERRY RAND APMC NPI is 1427140367. The provider is registered as an organization entity type.
The provider Is Doing Business As Rand Institution For Recovery.

The provider's business location address is:

4241 JUTLAND DR
SUITE 202
SAN DIEGO, CA
ZIP 92117-663
Phone: (858) 274-6633
Fax: (858) 274-6643

The provider's authorized official is Jerry Neil Rand .
The authorized official title is Medical Director and has the following contact phone number (858) 274-6633.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 11/29/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP3300XClinic/CenterPainBR7775868CALIFORNIANo
2324500000XSubstance Abuse Rehabilitation Facility370055APCALIFORNIANo
3261QI0500XClinic/CenterInfusion TherapyG25749CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G25749OTHERCALIFORNIASTATE ID
2A42784MEDICARE UPINCALIFORNIA
3W13674MEDICARE PINCALIFORNIA

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: 4/28/2024

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