Individual
DR. JONATHAN GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
819 ISLAND CT, SAN DIEGO, CA 92109-7710
(304) 520-9302
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0102203227
VA
Other
Enumeration date
06/15/2011
Last updated
06/03/2024
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