Organization Name: | JERALD D. WHITE, MD, AMC |
NPI Number: | 1932362811 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERALD D WHITE (PHYSICIAN) |
Mailing Address: | 3231 Waring Ct Ste E Oceanside |
State: | CA US |
Postal Code: | 920564510 |
Phone Number: | 7607267373 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2008 |
NPI Last Update Date: | 07/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G9677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |