Healthcare Provider Details
I. General information
NPI: 1801704812
Provider Name (Legal Business Name): WELLJOURNEY PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3252 HOLIDAY CT STE 220
LA JOLLA CA
92037-1807
US
IV. Provider business mailing address
3252 HOLIDAY CT STE 220
LA JOLLA CA
92037-1807
US
V. Phone/Fax
- Phone: 858-779-2615
- Fax: 888-613-4709
- Phone: 858-779-2615
- Fax: 888-613-4709
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JON
DAVID
STIFFLER
Title or Position: PHYSICIAN
Credential: MD
Phone: 858-779-2615