Jacqueline Marie Reardon in Chula Vista - General Practice
Jacqueline Marie Reardon - NPI 1417928557
Jacqueline Marie Reardon is a General Practice in Chula Vista, California. Jacqueline Marie Reardon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jacqueline Marie Reardon is 1417928557. The last update date is 2010-07-31.
Jacqueline Marie Reardon's current location address is 435 H St, Chula Vista, California. You can contact this provider via phone number 6196917290. The mailing address for Jacqueline Marie Reardon is 435 H St, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacqueline Marie Reardon |
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Address | 435 H St, Chula Vista, California |
Phone Number | 6196917290 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1417928557 |
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Provider Enumeration Date | 2006-01-27 |
Last Updated Date | 2010-07-31 |
Provider Mailing Address Detail
Address | 435 H St |
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City | Chula Vista |
State | California (CA) |
Post Code | 919104307 |
Phone Number | 6196917290 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | 02002390A |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identification code issued to Jacqueline Marie Reardon by the Centers for Medicare & Medicaid Services?
The Jacqueline Marie Reardon has been assigned the NPI (National Provider Identifier) 1417928557 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jacqueline Marie Reardon is located?
The Jacqueline Marie Reardon is situated at the following address: 435 H St, Chula Vista, CA, 919104307.
What is the area of specialization for Jacqueline Marie Reardon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacqueline Marie Reardon is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
On what date did the Jacqueline Marie Reardon receive its 1417928557 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline Marie Reardon was assigned its 1417928557 by the Centers for Medicare & Medicaid Services on 2006-01-27.
As of what date were the details related to Jacqueline Marie Reardon most recently updated or revised?
The information pertaining to Jacqueline Marie Reardon, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-31.