Dwek, Jerry R
Dwek, Jerry R is an individual health care provider with primary practice located at 8745 Aero Dr Suite 200, San Diego CA 92123-1774. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dwek, Jerry R can be contacted via phone (858) 565-0950.Contact Information
Primary practice address
8745 Aero Dr Suite 200
San Diego CA 92123-1774
Phone: (858) 565-0950
Fax: (858) 244-1100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | G86073 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G86073 | California |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | G86073 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | G86073 | California |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | G86073 | California |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | G86073 | California |
Profile Details
| NPI number | 1558335695 |
|---|---|
| LBN Legal business name | Dwek, Jerry R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Oct 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558335695 | NPPES |
| California | MEDICAID | GR0083812 | |
| California | MEDICAID | GR0083814 | |
| California | MEDICAID | GR0083816 | |
| California | MEDICAID | GR0083811 | |
| California | MEDICAID | GR0083810 | |
| California | MEDICAID | GR0083817 | |
| California | MEDICAID | GR0083815 | |
| California | MEDICAID | ZZZ75341Z | |
| California | MEDICAID | GR0083813 |
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