Jerry Gold is a Clinical in La Jolla, California. Jerry Gold practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Gold is 1649324500. The last update date is 2007-07-08.
Jerry Gold's current location address is 8139 Caminito Sonoma, La Jolla, California. You can contact this provider via phone number 6192607111. The mailing address for Jerry Gold is 8139 Caminito Sonoma, La Jolla, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry Gold |
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Address | 8139 Caminito Sonoma, La Jolla, California |
Phone Number | 6192607111 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1649324500 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 8139 Caminito Sonoma |
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City | La Jolla |
State | California (CA) |
Post Code | 920372923 |
Phone Number | 6192607111 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PSY9262 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00PL92620 | CA | BLUE SHIELD | |
PR0092620 | CA | MEDI-CAL | |
06E6701 | CA | CHAMPUS |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry Gold by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry Gold has been assigned the NPI (National Provider Identifier) 1649324500. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jerry Gold's facilities are situated?
The facilities of Jerry Gold are physically located at the following address: 8139 Caminito Sonoma, La Jolla, CA, 920372923.
What is Jerry Gold's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Gold is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1649324500 assigned to Jerry Gold?
The Jerry Gold was issued its 1649324500 on 2007-01-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerry Gold most recently updated?
The details pertaining to the Jerry Gold, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.