Alfred Darryl Jumper M.D. A Professional Corporation

LBN: Alfred Darryl Jumper M.D. A Professional Corporation
Alfred Darryl Jumper M.D. A Professional Corporation is an health care organization with primary practice located at 9675 Brighton Way 100, Beverly Hills CA 90210-5100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Alfred Darryl Jumper M.D. A Professional Corporation can be contacted via phone (310) 275-1646, or through Jumper, Alfred Darryl via phone (310) 845-0208.

Contact Information

Primary practice address
9675 Brighton Way 100 Beverly Hills CA 90210-5100
Fax:
Website:
Authorized official contact:
Name: Jumper, Alfred Darryl Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X California

Profile Details

NPI number 1740299114
LBN Legal business name Alfred Darryl Jumper M.D. A Professional Corporation
DBA Doing business as
Authorized official Jumper, Alfred Darryl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 11th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740299114 NPPES
California Other 00C409610 BLUE SHIELD
California MEDICAID 00C409610 BLUE SHIELD

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