Individual provider · Type 1 NPI

Justin Fredericks, DO

General Practice Physician · San Diego, CA

NPI number 1487356176 Active

Practice location

2841 Rendova Rd
San Diego, CA 92155-5779

Call (727) 742-6825 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X02007896A (IN)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1487356176

Justin Fredericks, DO's National Provider Identifier is 1487356176, issued on Mar 20, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Diego, CA. The record was last updated on Nov 25, 2024.