Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | A80671 | CA |
NPI | 1346321197 |
---|---|
Provider Name | Dr. Jaime Eliezer Giron |
First Address | Soledad, CA 93960-2533 |
Second Address | Soledad, CA 93960-2533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 07/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
GR011110 | (05) | CA |
RHM53997F | (05) | CA |