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Search › California › 390200000X

Jimmy Faddis

NPI 1922660695 · on the registry since 2019

Practice

Address
430 F St
Chula Vista, CA 91910
Phone
(619) 420-3620
Organisation at this address
South Bay Community Services
South Bay Community Services
South Bay Community Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
72

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-11

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