Individual
JENNIFER ROXANNE GASTELUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123
(858) 565-9666
(858) 565-9441
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
79446
AZ
207L00000X
Anesthesiology Physician
A135112
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A135112
CA
Other
Enumeration date
03/29/2013
Last updated
04/13/2026
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