Individual
DR. JEREMY SCOTT STUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2185 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(442) 281-3000
Mailing address
5191 CHELSEA ST, LA JOLLA, CA 92037-7909
(646) 483-7950
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036175588
IL
2085R0202X
Diagnostic Radiology Physician
Primary
A100178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780883496
NPI
—
Enumeration date
07/12/2007
Last updated
03/03/2026
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