Fred J Simon, JR.
Medical Specialty
Professional ID
- NPI: 1568525566
- PECOS ID: 8527961671
- Enrollment ID: I20040128000352
- Credential(MD, DO, DPM): MD
- Medical School: Creighton University School Of Medicine
- Medical School Graduation Year: 1981
Hospital Service
- Hospital CCN1: 050503
- Business Name (LBN)1: Scripps Memorial Hospital - Encinitas
- Hospital CCN2: 130028
- Business Name (LBN)2: Portneuf Medical Center
Medical Practices
- Organization Name: Fred J Simon Jr Md
- Group Practice ID assigned by PECOS: 2769428929
- Number of Group Practice member: 0
Location
- Address1: 9888 Genesee Ave
- Address2:
- City: La Jolla
- State: California
- Zip Code: 92037
- Phone Number: (858)626-4123
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):