Individual provider · Type 1 NPI
Kifle Gashie Jikamo
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1811670615
Active
Practice location
3350 La Jolla Village Dr
San Diego, CA 92161-0002
Fax (619) 374-7300
Mailing address
728 N Valley View Dr
Chula Vista, CA 91914-2432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95026572 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1811670615
Kifle Gashie Jikamo's National Provider Identifier is 1811670615, issued on Aug 8, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Mar 3, 2026.