MEDICARE: DR. JAMES MATTHEW JURICA MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1063099802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MATTHEW JURICA MD

Provider Business Mailing Address
First Line	:	9500 GILMAN DR
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92093-5004
Country	:	US
Telephone Number	:	858-534-2230
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 GILMAN DR
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92093-5004
Country	:	US
Telephone Number	:	858-534-2230
Fax Number	:

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

Provider Enumeration Date	:	03/26/2021
Last Update Date	:	02/19/2026

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