Healthcare Provider Details

I. General information

NPI: 1003468331
Provider Name (Legal Business Name): JOSHUA KOEPLIN-DAY PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 N TORREY PINES RD
LA JOLLA CA
92037-1035
US

IV. Provider business mailing address

10710 N TORREY PINES RD
SAN DIEGO CA
92137
US

V. Phone/Fax

Practice location:
  • Phone: 858-554-7007
  • Fax:
Mailing address:
  • Phone: 858-554-7007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number66051
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number66051
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: