Jim Rayburn Harley
M.D. | Pediatrics | Male
Jim Rayburn Harley, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jim Rayburn Harley is
3020 Childrens Way, San Diego, California - 92123-4223. He can be contacted on phone at
858-966-8036.
Jim Rayburn Harley is a sole proprietor of his business.
NPI number (Unique professional ID) for Jim Rayburn Harley is
1861563611 which was assigned by NPPES on 13 Nov, 2006 and it was last updated on 08 Jul, 2007.
Jim Rayburn Harley is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jim Rayburn Harley basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jim Rayburn Harley |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Jim Rayburn Harley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3020 Childrens Way
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-966-8036 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861563611 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Nov, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jim Rayburn Harley are as mentioned. Primary taxonomy code for Jim Rayburn Harley, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | G55907 | CA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | G55907 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jim Rayburn Harley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G559070 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3860 Calle Fortunada, Suite 210
San Diego, CA, 92123-4800
United States |
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| Phone Number : | 858-309-6303 |
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| Fax Number : | 858-309-6301 |
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Business Location:
Patients can refer following map for directions to
Jim Rayburn Harley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.