Individual provider · Type 1 NPI

Mary Val David Kohistani, FNP

Family Nurse Practitioner · San Diego, CA

NPI number 1134093453 Active

Practice location

404 Camino Del Rio S Ste 102
San Diego, CA 92108-3586

Mailing address

PO Box 103
Crows Landing, CA 95313-0103

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95035173 (CA)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1134093453

Mary Val David Kohistani, FNP's National Provider Identifier is 1134093453, issued on Sep 30, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Sep 30, 2025.