Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A147007 | CA |
NPI | 1992026215 |
---|---|
Provider Name | Dr. Jeffrey S. Jumaily |
First Address | Beverly Hills, CA 90211-1715 |
Second Address | Beverly Hills, CA 90211-1715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 18/11/2021 |