Individual provider · Type 1 NPI
Jay Scott Berenter, D.P.M.
Foot & Ankle Surgery Podiatrist · La Jolla, CA
NPI number
1861428112
Active
Practice location
9850 Genesee Ave, Ste 370
La Jolla, CA 92037-1212
Fax (858) 450-3296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E3365 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1861428112
Jay Scott Berenter, D.P.M.'s National Provider Identifier is 1861428112, issued on Jun 25, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in La Jolla, CA. The record was last updated on Jan 2, 2018.