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NPI Code Detail

MEDICARE: DR. JEFFREY KURTIS ROWE MD

MEDICARE: DR. JEFFREY KURTIS ROWE 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
12084P0800XPsychiatry PhysicianG54055CA
22084P0804XChild & Adolescent Psychiatry PhysicianG54055CA

General Provider Information

NPI Number : 1215053574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY KURTIS ROWE MD
Provider Business Mailing Address
First Line : 10751 CARILLON CT
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-3311
Country : US
Telephone Number : 858-578-4011
Fax Number :
Provider Business Practice Location Address
First Line : 2901 MEADOW LARK DR
Second Line : MS-P535
City : SAN DIEGO
State : CA
Zip : 92123-2711
Country : US
Telephone Number : 858-694-4548
Fax Number : 858-694-4492
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 09/11/2025

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