Provider Demographics
NPI:1700071800
Name:SAAD JUMA, M.D., INC.
Entity Type:Organization
Organization Name:SAAD JUMA, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-753-8373
Mailing Address - Street 1:320 SANTA FE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5138
Mailing Address - Country:US
Mailing Address - Phone:760-753-8373
Mailing Address - Fax:760-753-9332
Practice Address - Street 1:320 SANTA FE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5138
Practice Address - Country:US
Practice Address - Phone:760-753-8373
Practice Address - Fax:760-753-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42398208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A423980OtherBLUE SHIELD
CA00A423980OtherBLUE SHIELD