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Search › California › 2085R0202X

Jerry Nam, MD

NPI 1972565000 · on the registry since 2006

Practice

Address
4445 Magnolia Ave
Riverside, CA 92501
Phone
(951) 788-3400
Fax
(979) 774-7871
Organisation at this address
Ji Son
Cindy Martin Inc
Spore Society Llc
Socal Surgical Services
Inland First Assist Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
486

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
2085N0700X
2085N0700X
Licence states on file
TX, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-13

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