Individual
JOHN ROWE HALLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 GILMAN DR, LA JOLLA, CA 92093-5004
(858) 657-7404
Mailing address
3721 BALBOA TER UNIT A, SAN DIEGO, CA 92117-5470
(916) 915-2226
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A199281
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2021
Last updated
07/23/2026
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