MEDICARE: JAMES E MCSWEENEY, M.D. INC

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	174400000X	Specialist	A039912	CA

General Provider Information

NPI Number	:	1003054826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES E MCSWEENEY, M.D. INC

Provider Business Mailing Address
First Line	:	3704 RUFFIN RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1812
Country	:	US
Telephone Number	:	858-495-0355
Fax Number	:	858-495-0058

Provider Business Practice Location Address
First Line	:	3704 RUFFIN RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1812
Country	:	US
Telephone Number	:	858-495-0355
Fax Number	:	858-495-0058

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES E MCSWEENEY
Credential	:	M.D.
Telephone Number	:	619-292-2768

Provider Enumeration Date	:	02/02/2009
Last Update Date	:	02/02/2009

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