Healthcare Provider Details

I. General information

NPI: 1144175092
Provider Name (Legal Business Name): JOSHUA LEE HABERSTROH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR.
SAN DIEGO CA
92314
US

IV. Provider business mailing address

NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR.
SAN DIEGO CA
92314
US

V. Phone/Fax

Practice location:
  • Phone: 619-532-5761
  • Fax:
Mailing address:
  • Phone: 619-532-5761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: