Ayers, Jerry Daniel

Ayers, Jerry Daniel is an individual health care provider with primary practice located at 2121 5Th Ave , San Diego CA 92101-2139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Ayers, Jerry Daniel can be contacted via phone (619) 683-9394.

Contact Information

Primary practice address
2121 5Th Ave San Diego CA 92101-2139
Phone: (619) 683-9394
Fax: (619) 683-9228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X A42793 California

Profile Details

NPI number 1104977602
LBN Legal business name Ayers, Jerry Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2007
Last updated Jul 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104977602 NPPES
California Other 00A427930 MEDI-CAL PROVIDER NUMBER
California Other 00A427931 MEDI-CAL PROVIDER NUMBER

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