Mefferd, Jean M

Mefferd, Jean M is an individual health care provider with primary practice located at 9888 Genesee Ave Department Of Radiation Oncology, La Jolla CA 92037-1276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Mefferd, Jean M can be contacted via phone (858) 626-6864.

Contact Information

Primary practice address
9888 Genesee Ave Department Of Radiation Oncology La Jolla CA 92037-1276
Fax: (760) 599-9549
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G50161 California

Profile Details

NPI number 1629062625
LBN Legal business name Mefferd, Jean M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Apr 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629062625 NPPES
California MEDICAID 00G501610

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