Search › California › 207R00000X
Jacob Wyse
NPI 1619599354 · on the registry since 2020
Practice
- Address
- 601 Mccain Blvd
San Diego, CA 92135 - Phone
- (619) 545-6128
- Organisation at this address
- Branch Medical Clinic Coronado
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California