MEDICARE: DR. JACOB KURIAKOSE 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	:	1982759361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOB KURIAKOSE MD

Provider Business Mailing Address
First Line	:	330 C AVE
Second Line	:
City	:	CORONADO
State	:	CA
Zip	:	92118-1406
Country	:	US
Telephone Number	:	619-672-2059
Fax Number	:

Provider Business Practice Location Address
First Line	:	3250 FORDHAM ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-5339
Country	:	US
Telephone Number	:	833-574-2273
Fax Number	:

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	11/29/2021

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1598870123 — DR. CAROLINE YEN-HSUEH LIN M.D., M.SC.
Practice Location Address:

3250 FORDHAM ST
SAN DIEGO, CA
92110-5339

Practice Phone: 619-221-5903
Practice Fax:

1245311216 — DR. DANIEL JOHNSON D.O.
Practice Location Address:

3250 FORDHAM ST
SAN DIEGO, CA
92110-5339

Practice Phone: 833-574-2273
Practice Fax:

1407923634 — MICHAEL S. WILLSON MD
Practice Location Address:

3250 FORDHAM ST , BUILDING A
SAN DIEGO, CA
92110-5339

Practice Phone: 619-528-5000
Practice Fax:

1467509778 — KAISER FOUNDATION HEALTH PLAN INC
Practice Location Address:

3250 FORDHAM ST
SAN DIEGO, CA
92110-5339

Practice Phone: 866-385-2646
Practice Fax:

1497893887 — DR. GARY LYNN SCHROEDER MD
Practice Location Address:

3250 FORDHAM ST
SAN DIEGO, CA
92110-5339

Practice Phone: 800-290-5000
Practice Fax: 619-221-6189

Directions to “ DR. JACOB KURIAKOSE MD” 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.