Individual
DR. JARED RAY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-3011
(619) 532-8666
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-8666
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
A204047
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2019
Last updated
03/14/2026
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