MEDICARE: JACK KLEID M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	G20415	CA

General Provider Information

NPI Number	:	1033381124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACK KLEID M.D.

Provider Business Mailing Address
First Line	:	3660 CLAIREMONT DR
Second Line	:	#6
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-5909
Country	:	US
Telephone Number	:	858-274-2560
Fax Number	:	858-274-1610

Provider Business Practice Location Address
First Line	:	3660 CLAIREMONT DR
Second Line	:	#6
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-5909
Country	:	US
Telephone Number	:	858-274-2560
Fax Number	:	858-274-1610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2008
Last Update Date	:	10/13/2011

Similar Medicare Providers

1396846630 — WILLIAM ROY BREMNER D.D.S.
Practice Location Address:

3660 CLAIREMONT DR , STE. 11
SAN DIEGO, CA
92117-5909

Practice Phone: 858-270-6651
Practice Fax: 858-270-6654

1902244890 — PHILIP AZER, M.D., A PROFESSIONAL CORPORATION
Practice Location Address:

3660 CLAIREMONT DR , SUITE 2
SAN DIEGO, CA
92117-5909

Practice Phone: 858-270-8151
Practice Fax: 858-270-8121

1811620529 — JOANNA VILLALPANDO M.S., CFY-SLP
Practice Location Address:

3660 CLAIREMONT DR STE 2
SAN DIEGO, CA
92117-5909

Practice Phone: 619-354-3634
Practice Fax:

1568187177 — KIRA POWELL
Practice Location Address:

3660 CLAIREMONT DR STE 2
SAN DIEGO, CA
92117-5909

Practice Phone: 619-323-1905
Practice Fax:

1477334803 — MS. LAUREN SEGARS MA, MOT, OTR/L
Practice Location Address:

3660 CLAIREMONT DR STE 2
SAN DIEGO, CA
92117-5909

Practice Phone: 619-356-1315
Practice Fax:

1457118952 — DANIELLE CATHERINE BUSTAMANTE M.S. CCC-SLP
Practice Location Address:

3660 CLAIREMONT DR
SAN DIEGO, CA
92117-5909

Practice Phone: 619-356-1315
Practice Fax:

Directions to “ JACK KLEID M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.