Healthcare Provider Details

I. General information

NPI: 1124964846
Provider Name (Legal Business Name): LYNN F JUBELIRER ALTES DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNN F JUBELIRER DO

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8248 SUGARMAN DR
LA JOLLA CA
92037-2221
US

IV. Provider business mailing address

8248 SUGARMAN DR
LA JOLLA CA
92037-2221
US

V. Phone/Fax

Practice location:
  • Phone: 858-945-7656
  • Fax:
Mailing address:
  • Phone: 858-945-7656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A6007
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: