MEDICARE: JORGE NARANJO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A62504	CA

General Provider Information

NPI Number	:	1992838684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE NARANJO M.D.

Provider Business Mailing Address
First Line	:	1866 GAMAY TERRACE
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91913-1252
Country	:	US
Telephone Number	:	858-874-8472
Fax Number	:

Provider Business Practice Location Address
First Line	:	4542 RUFFNER STREET
Second Line	:	SUITE 150
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-2238
Country	:	US
Telephone Number	:	858-874-8472
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	03/22/2016

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