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NPI Code Detail

MEDICARE: TIMOTHY BURKE JUDD DO

MEDICARE: TIMOTHY BURKE JUDD DO
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
1207Q00000XFamily Medicine Physician20A18577CA

General Provider Information

NPI Number : 1932158946
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY BURKE JUDD DO
Provider Business Mailing Address
First Line : FILE 57326
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-7326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16950 VIA TAZON
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-1607
Country : US
Telephone Number : 800-926-8273
Fax Number : 888-539-8781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 04/23/2025

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Directions to “ TIMOTHY BURKE JUDD DO” Practice Location

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