Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 200001985665 | NC |
N | 175L00000X | Homeopath |
NPI | 1396037701 |
---|---|
Provider Name | Mr. David Jeb Getoff |
First Address | El Cajon, CA 92020 |
Second Address | El Cajon, CA 92019-3035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2011 |
Last Update Date | 26/03/2021 |