| Jeffrey K Pearson A Professional Medical Corporation | |
|
120 Craven Rd Suite 101 San Marcos CA 92078-4235 | |
| (760) 591-0955 | |
| (760) 591-3680 |
| Full Name | Jeffrey K Pearson A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Craven Rd, San Marcos, California |
| Authorized Official Name and Position | Jeffrey K Pearson (PRESIDENT/OWNER) |
| Authorized Official Contact | 7605910955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey K Pearson A Professional Medical Corporation 120 Craven Rd Suite 101 San Marcos CA 92078-4235 Ph: (760) 591-0955 | Jeffrey K Pearson A Professional Medical Corporation 120 Craven Rd Suite 101 San Marcos CA 92078-4235 Ph: (760) 591-0955 |
| NPI Number | 1497982193 |
|---|---|
| Provider Enumeration Date | 06/19/2009 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497982193 | NPI | - | NPPES |
| 20A5534 | Other | CA | MEDICAL LICENSE |
| BY503Y | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5534 (California) | Primary |
| 207R00000X | Internal Medicine | A45444 (California) | Secondary |
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