Provider Demographics
NPI:1225042369
Name:ALM, JOHN ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ROBERT
Last Name:ALM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10170 SORRENTO VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1604
Mailing Address - Country:US
Mailing Address - Phone:858-784-5888
Mailing Address - Fax:760-361-3274
Practice Address - Street 1:1120A MAKAWAO AVE
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-9448
Practice Address - Country:US
Practice Address - Phone:808-573-2222
Practice Address - Fax:760-631-3274
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-07-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG39550207P00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G395500Medicaid
CA00G395500Medicaid
CAA92094Medicare UPIN