Individual
DR. JASON KEITH SICKLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093-0987
(800) 926-8273
(888) 539-8781
Mailing address
FILE 53726, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
247995
NY
208600000X
Surgery Physician
A 112500
CA
2086X0206X
Surgical Oncology Physician
247995
NY
2086X0206X
Surgical Oncology Physician
Primary
A 112500
CA
Other
Enumeration date
01/27/2007
Last updated
11/17/2025
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