Individual
MRS. JYOTHI J REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4060 FAIRMOUNT AVE., PEDIATRICS DEPARTMENT, SAN DIEGO, CA 92105
(619) 255-9154
(619) 795-9847
Mailing address
4060 FAIRMOUNT AVE, PEDIATRICS, SAN DIEGO, CA 92105
(619) 255-9154
(619) 795-9847
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C144069
CA
208000000X
Pediatrics Physician
G2825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133349408
—
TX
01
—
25622
THE AMERICAN BOARD OF PEDIATRICS
—
Enumeration date
07/25/2006
Last updated
02/28/2023
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