Wasserstrom, Jeffrey Phillip
Wasserstrom, Jeffrey Phillip is an individual health care provider with primary practice located at 5565 Grossmont Center Dr Bldg. 3 Suite 551, La Mesa CA 91942-3020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wasserstrom, Jeffrey Phillip can be contacted via phone (619) 698-1088.Contact Information
Primary practice address
5565 Grossmont Center Dr Bldg. 3 Suite 551
La Mesa CA 91942-3020
Phone: (619) 698-1088
Fax: (619) 698-1189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G54813 | California |
Profile Details
| NPI number | 1710922687 |
|---|---|
| LBN Legal business name | Wasserstrom, Jeffrey Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Feb 6th, 2014 - 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 | 1710922687 | NPPES |
| California | MEDICAID | 00G548130 |
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