Healthcare Provider Details

I. General information

NPI: 1629089677
Provider Name (Legal Business Name): JOSHUA PAUL WERBLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 AERO DR STE 238
SAN DIEGO CA
92123-1756
US

IV. Provider business mailing address

8775 AERO DR STE 238
SAN DIEGO CA
92123-1756
US

V. Phone/Fax

Practice location:
  • Phone: 619-930-9524
  • Fax: 619-269-9245
Mailing address:
  • Phone: 619-930-9524
  • Fax: 619-269-9245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME137499
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberME137499
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME137499
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: