Jaeger, Gary A.

Jaeger, Gary A. is an individual health care provider with primary practice located at 25825 Vermont Ave , Harbor City CA 90710-3518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Jaeger, Gary A. can be contacted via phone (310) 325-5111.

Contact Information

Primary practice address
25825 Vermont Ave Harbor City CA 90710-3518
Phone: (310) 325-5111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X G27251 California

Profile Details

NPI number 1447321351
LBN Legal business name Jaeger, Gary A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Nov 29th, 2007 - about 18 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 1447321351 NPPES
California MEDICAID 00G272510

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