Jeremiah Moles
Otolaryngologist (ENT Doctor)
5565 Grossmont Center Dr Bldg 3 Suite 101
La Mesa
, California 91942-3020
Jeremiah Moles
Otolaryngologist (ENT Doctor)
5565 Grossmont Center Dr Bldg 3 Suite 101
La Mesa
, California 91942-3020
(619) 464-6720
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Jeremiah Moles
- 5565 Grossmont Center Dr Bldg 3 Suite 101
- La Mesa, CA
- Zip : 91942-3020
- Fax : (619) 464-6720
- Phone : (619) 464-3353
Second Address
- Jeremiah Moles
- 5565 Grossmont Center Dr Bldg 3 Suite 101
- La Mesa, CA
- Zip : 91942-3020
- Fax : (619) 464-6720
- Phone : (619) 464-3353
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A112009 | CA |
National Provider Identifier
| NPI | 1003067745 |
|---|---|
| Provider Name | Jeremiah Moles |
| First Address | La Mesa, CA 91942-3020 |
| Second Address | La Mesa, CA 91942-3020 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2008 |
| Last Update Date | 15/04/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.