Judd Laraway in San Diego - Surgical

Judd Laraway - NPI 1154505402

Judd Laraway is a Surgical in San Diego, California. Judd Laraway practices all healthcare services and medical treatments related to Surgical. The NPI Number for Judd Laraway is 1154505402. The last update date is 2019-10-29.

Judd Laraway's current location address is 200 W Arbor Dr, San Diego, California. You can contact this provider via phone number 6195435540. The mailing address for Judd Laraway is 200 W Arbor Dr, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Judd Laraway
Address 200 W Arbor Dr, San Diego, California
Phone Number 6195435540
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1154505402
Provider Enumeration Date 2007-12-21
Last Updated Date 2019-10-29

Provider Mailing Address Detail

Address 200 W Arbor Dr
City San Diego
State California (CA)
Post Code 921039000
Phone Number 6195435540
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA16735
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Judd Laraway

What is the unique 10-digit identifier code issued to Judd Laraway by the Centers for Medicare & Medicaid Services?

The Judd Laraway has been assigned the NPI (National Provider Identifier) 1154505402 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Judd Laraway is physically located?

The Judd Laraway is situated at the following address: 200 W Arbor Dr, San Diego, CA 921039000.

What is Judd Laraway's area of expertise and its corresponding taxonomy classification?

The Judd Laraway's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1154505402 assigned to Judd Laraway?

The Judd Laraway was issued its 1154505402 on 2007-12-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Judd Laraway last refreshed?

The information related to the Judd Laraway, including its address, specialty, and other relevant details, was last updated on 2019-10-29.

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