Jack Wasserman, M.D

NPI 1306914783 · on the registry since 2006

Practice

Address: 9999 Mira Mesa Blvd Ste 104
San Diego, CA 92131
Phone: (858) 271-6962
Fax: (858) 271-5327
Organisation at this address: Maritess Mauricio, Apc
Trinity Way Pharmacy, Inc.
Scripps Ranch Medical Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California