Jill Marie Waalen in San Diego - General Practice
Jill Marie Waalen - NPI 1578611554
Jill Marie Waalen is a General Practice in San Diego, California. Jill Marie Waalen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jill Marie Waalen is 1578611554. The last update date is 2007-11-30.
Jill Marie Waalen's current location address is 4405 Vandever Ave, San Diego, California. You can contact this provider via phone number 6195285000. The mailing address for Jill Marie Waalen is 4405 Vandever Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Marie Waalen |
|---|---|
| Address | 4405 Vandever Ave, San Diego, California |
| Phone Number | 6195285000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578611554 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 4405 Vandever Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921203315 |
| Phone Number | 6195285000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A69683 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A696830 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jill Marie Waalen by the Centers for Medicare & Medicaid Services?
The Jill Marie Waalen has been issued the NPI (National Provider Identifier) 1578611554, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jill Marie Waalen is geographically located?
The Jill Marie Waalen is physically situated at the following location: 4405 Vandever Ave, San Diego, CA, 921203315.
What is Jill Marie Waalen's area of expertise and its corresponding taxonomy classification?
The Jill Marie Waalen's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578611554 to Jill Marie Waalen?
The Centers for Medicare & Medicaid Services originally issued the 1578611554 to Jill Marie Waalen on 2007-01-08.
As of what date were the Jill Marie Waalen's details last updated?
The information pertaining to the Jill Marie Waalen, including its address, specialty, and other details, was most recently updated on 2007-11-30.