Healthcare Provider Details

I. General information

NPI: 1437891405
Provider Name (Legal Business Name): SAWYER KIEFFER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 CAMPUS POINT DR # MC7196
LA JOLLA CA
92037-1300
US

IV. Provider business mailing address

9300 CAMPUS POINT DR # MC7196
LA JOLLA CA
92037-1300
US

V. Phone/Fax

Practice location:
  • Phone: 858-534-9061
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberA200895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: