Litvinoff, Jerome Samuel
Litvinoff, Jerome Samuel is an sole proprietor health care provider with primary practice located at 6536 Crystalaire Dr , San Diego CA 92120-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Litvinoff, Jerome Samuel can be contacted via phone (619) 583-1200.Contact Information
Primary practice address
6536 Crystalaire Dr
San Diego CA 92120-3902
Phone: (619) 583-1200
Fax: (619) 583-8903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | G20193 | California |
Profile Details
| NPI number | 1497717292 |
|---|---|
| LBN Legal business name | Litvinoff, Jerome Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Apr 3rd, 2013 - about 11 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 | 1497717292 | NPPES |
| California | MEDICAID | 00G201930 |
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