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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN FREDERICKS, DO

Active

JUSTIN FREDERICKS, DO is a General Practice healthcare provider located in SAN DIEGO, California. NPI 1487356176 is currently active in the NPPES registry. Verify at CMS.

General Practice · SAN DIEGO, CA

Registration Details

NPI Number
1487356176
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2023 (3.219799385487 yrs)
Last Updated
Nov 25, 2024
License
02007896A (IN)

Practice Information

Address
2841 RENDOVA RD
SAN DIEGO, CA, 921555779
Browse CA providers · Browse ZIP 92155
Phone
7277426825
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in SAN DIEGO, CA

Name Credential NPI
DR. RICHARD TEW M.D. 1679572911
DR. ERIN ALINE GRIFFITH D.O. 1225029192
DR. BRYAN MATTHEW VANDER SCHUUR M.D. 1801872296
ALAN STEPHEN LAM M.D. 1548248628
DR. MICHAEL VINCE D.O. 1740260793
DR. DAVID TROWBRIDGE M.D. 1932170271
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.