MEDICARE: DR. JEROME C PIERCE MD

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	207R00000X	Internal Medicine Physician	G19506	CA

General Provider Information

NPI Number	:	1154390359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEROME C PIERCE MD

Provider Business Mailing Address
First Line	:	24221 CALLE DE LA LOUISA
Second Line	:	SUITE 400
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-7638
Country	:	US
Telephone Number	:	949-465-8155
Fax Number	:	949-465-8159

Provider Business Practice Location Address
First Line	:	23961 CALLE DE LA MAGDALENA
Second Line	:	SUITE 400
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3616
Country	:	US
Telephone Number	:	949-334-8200
Fax Number	:	949-465-8159

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	02/08/2026

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