Healthcare Provider Details

I. General information

NPI: 1619383734
Provider Name (Legal Business Name): JESSE JOHN AROMAS DION JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 SULLIVAN AVE
DALY CITY CA
94015-2200
US

IV. Provider business mailing address

1000 NATIONAL AVE
SAN BRUNO CA
94066-2475
US

V. Phone/Fax

Practice location:
  • Phone: 650-992-4000
  • Fax:
Mailing address:
  • Phone: 330-524-9997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.130944
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA169245
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: