# JOSEPH SHERIDAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699490136
- **Authorized official:** JOSEPH J SHERIDAN (MD)
- **Authorized official phone:** (619) 630-1036

## Contact information

- **Practice address:** 7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
- **Practice address phone:** (619) 630-1036
- **Practice address fax:** (619) 609-0059
- **Mailing address:** PO BOX 1770, LA MESA, CA 91944-1770
- **Mailing address phone:** (619) 464-1165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2022
- **Last updated:** 10/07/2022