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Jennifer M Rullan

  • Female

Medical Specialty

Professional ID

  • NPI: 1447484811
  • PECOS ID: 1153557954
  • Enrollment ID: I20131127000922
  • Credential(MD, DO, DPM):
  • Medical School: Ponce School Of Medicine
  • Medical School Graduation Year: 2009

Hospital Service

  • Hospital CCN1: 050222
  • Business Name (LBN)1: Sharp Chula Vista Medical Center

Medical Practices

  • Organization Name: South Bay Skin And Cancer Medical Group, Inc.
  • Group Practice ID assigned by PECOS: 1153399258
  • Number of Group Practice member: 3

Location

  • Address1: 256 Landis Ave
  • Address2: Suite 3
  • City: Chula Vista
  • State: California
  • Zip Code: 91910
  • Phone Number: (619)426-9600

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):