Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A125568 | CA |
N | 2080P0202X | Pediatric Cardiologist | 3037 | OH |
Y | 2080P0202X | Pediatric Cardiologist | A125568 | CA |
NPI | 1023329885 |
---|---|
Provider Name | Dr. Jessica Haley |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-4223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2010 |
Last Update Date | 17/03/2018 |