Individual
DIANE JAZMIN DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5454 EL CAJON BLVD, SAN DIEGO, CA 92115-3621
(619) 515-2400
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 269-0674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A153344
CA
Other
Enumeration date
04/27/2016
Last updated
08/23/2021
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