OrganizationJerome C Hall M D IncSpecialistOther Service ProvidersPractice Address3702 Ruffin Road, Suite 101, San Diego, CA 92123(619) 326-0610(858) 467-0610PECOS EnrollmentBased on the most recent information from CMS, provider Jerome C Hall M D Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1275777914Provider TypeOrganizationFull NameJerome C Hall M D IncSubpartNoEnumeration Date4/24/2009Last Updated7/29/2024Contact InformationPractice LocationPractice Address3702 Ruffin Road, Suite 101, San Diego, CA 92123Phone(619) 326-0610Fax(619) 326-0616Mailing LocationMailing Address3702 Ruffin Road, Ste 101, San Diego, CA 92123Phone(858) 467-0610Fax(858) 268-0616Authorized OfficialNameHall, Jerome C (President)Phone(858) 467-0610Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseG85854CaliforniaProvider IdentifiersIDDescriptionIssuerID1962425777DescriptionOtherIssuerINDIVIDUAL NPICalifornia