Individual
JON H LISCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9339 GENESEE AVE STE 220, SAN DIEGO, CA 92121-2196
(858) 455-7520
(858) 554-1312
Mailing address
9339 GENESEE AVE, STE 220, SAN DIEGO, CA 92121-2121
(858) 455-7520
(858) 554-1312
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
C31282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330627190
FEDERAL TAX ID
CA
Enumeration date
06/02/2006
Last updated
02/06/2023
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