person
Dr. Kaia Erickson Jystad, DO
Military Health Care Provider in San Diego, California
NPI 1710509344

Kaia Erickson Jystad is a Military Health Care Provider based in San Diego, CA. Kaia Erickson Jystad practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Kaia Erickson Jystad is 1710509344 and holds a License No. (California).

The current practice location address for Kaia Erickson Jystad is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 310-503-0073.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92104-4945
person
Provider Profile Details
NPI Number
1710509344
Provider Name
Kaia Erickson Jystad
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
34800 Bob Wilson Dr, San Diego, CA, 92104-4945
Phone Number
310-503-0073
Fax Number
Provider Enumeration Date
05/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
310-503-0073
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
310-503-0073
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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