Individual
JARED BLOMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
353 H ST, CHULA VISTA, CA 91910-5501
(619) 476-6060
Mailing address
353 H ST, CHULA VISTA, CA 91910-5501
(619) 476-6060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
74476
WI
2084P0800X
Psychiatry Physician
Primary
A191532
CA
Other
Enumeration date
04/09/2019
Last updated
11/05/2025
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