Healthcare Provider Details

I. General information

NPI: 1477813384
Provider Name (Legal Business Name): JONATHAN KALMAN N.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 04/02/2024
Certification Date: 05/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3252 HOLIDAY CT STE 204
LA JOLLA CA
92037-1808
US

IV. Provider business mailing address

5694 MISSION CENTER RD STE 602-328
SAN DIEGO CA
92108-4355
US

V. Phone/Fax

Practice location:
  • Phone: 619-777-6567
  • Fax: 619-243-7395
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND9
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-9
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: