Individual
DR. KAIMANA S MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3368 2ND AVENUE, SUITE B, SAN DIEGO, CA 92103
(619) 203-7393
Mailing address
3368 2ND AVENUE, SUITE B, SAN DIEGO, CA 92103
(619) 203-7393
(619) 296-0199
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A68041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A680410
—
CA
Enumeration date
07/13/2006
Last updated
09/20/2023
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