Fred J Simon, Jr., M.d.

NPI #1811176837 in La Jolla, California

Provider Information

NPI Number: 1811176837
Entity Type: Organization
Organization Name: Fred J Simon, Jr., M.d.
Primary Specialty: Surgery
Enumeration Date: Oct 26, 2007
Last Updated: Nov 5, 2007

Practice Location

Address: 9888 GENESEE AVE
Address 2: LJ-601
City: La Jolla
State: California
ZIP Code: 92037-1205
Phone: (858) 626-6362

Authorized Official

Name: FRED J. SIMON JR., M.D.
Title: DIRECTOR, MANAGER
Phone: (858) 626-6362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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