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NPI Code Detail

MEDICARE: JOANNA C JAISWAL RADT

MEDICARE: JOANNA C JAISWAL RADT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1255268405
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA C JAISWAL RADT
Provider Business Mailing Address
First Line : 3030 MONARCH ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-3244
Country : US
Telephone Number : 619-831-3685
Fax Number :
Provider Business Practice Location Address
First Line : 3132 JEFFERSON ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-4421
Country : US
Telephone Number : 619-831-3685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ JOANNA C JAISWAL RADT” Practice Location

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