Individual provider · Type 1 NPI

Mary F. Kodiath, NP

Adult Health Nurse Practitioner · San Diego, CA

NPI number 1891748026 Active

Practice location

3350 Lajolla Village Drive
San Diego, CA 92161-0001

Call (858) 552-8585 Map

Mailing address

13645 Catawba Dr
Poway, CA 92064-3809

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	366086 (CA)

Adult Health Nurse Practitioner: Definition to come...

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Thomas Loring Cookson, PharmDPharmacist San Diego, CA NPI 1548209299

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About NPI 1891748026

Mary F. Kodiath, NP's National Provider Identifier is 1891748026, issued on May 18, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Diego, CA. The record was last updated on Jul 13, 2026.