Individual
KINAAN FARIDUN JAVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 294-8111
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(619) 260-7125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A20507
CA
208M00000X
Hospitalist Physician
Primary
20A20507
CA
Other
Enumeration date
03/25/2020
Last updated
08/08/2023
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