Individual provider · Type 1 NPI

Jon Zackary, MD

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1366869398 Active

Practice location

7060 Clairemont Mesa Blvd
San Diego, CA 92111-1003

Call (619) 528-5164 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X138047 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366869398

Jon Zackary, MD's National Provider Identifier is 1366869398, issued on Mar 27, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Nov 29, 2021.