JILL M. LUNDSTROM


Address: 10243 Genetic Center Dr, San Diego, CA 92121-6310
Phone: 5083341000

JILL M. LUNDSTROM (NPI# 1770946543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770946543
Entity Type Individual
Full Name JILL M. LUNDSTROM
Credential M.D.
Practice Address 10243 Genetic Center Dr
San Diego
CA 92121-6310
Practice Telephone 5083341000
Mailing Telephone 5087357091
Enumeration Date 2016-03-30
Last Update Date 2019-12-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics A162159 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 10243 GENETIC CENTER DR
City SAN DIEGO
State CA
Zip Code 92121-6310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346240967 Eric R Lovell Emergency Medicine 10243 Genetic Center Dr, San Diego, CA 92121-6310 2005-07-26
1811551930 Samantha Timanus Physical Therapist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2019-04-24
1689169062 Ylan Ton Physical Therapist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2018-06-27
1861908386 Ashley Jennifer Ennedy Preventive Medicine 10243 Genetic Center Dr, San Diego, CA 92121-6310 2017-12-19
1265979744 Hossein Manavizadeh Pharmacist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2017-01-23
1821533985 Jessica Llamas Specialist/Technologist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2016-12-28
1447610571 Christina N Nakashima Pharmacist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2016-03-02
1033578661 Patricia Polikoff Pharmacist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2016-02-10
1265859524 Angela Sung Psychiatry & Neurology 10243 Genetic Center Dr, San Diego, CA 92121 2014-03-25
1194157172 Courtney Lynn Aivati Speech-Language Pathologist 10243 Genetic Center Dr, San Diego, CA 92121 2013-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225644917 Anna Hand Physical Therapist 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 2020-09-18
1972138030 Lamarr Joyner Licensed Vocational Nurse 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 2020-03-10
1396383212 La Jolla Professional Plastic Surgery Plastic Surgery 4510 Executive Dr. Suite 105, San Diego, CA 92121 2019-12-11
1841852472 Unmanned Systems Operations Group Air Carrier 4655 Executive Dr., Suite 700, San Diego, CA 92121 2019-07-03
1861051922 Grace Getchell Behavior Technician 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 2019-06-11
1720643299 Megan Jean Bathen Behavior Technician Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 2019-05-09
1346804366 Daniel Melita Massage Therapist 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 2019-04-25
1831674464 Stepahnie Becerra Behavior Technician 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 2018-09-28
1265915466 Ailyn Martinez Behavior Technician 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 2018-09-13
1790265163 Genben Lifesciences Corporation Public Health or Welfare 6370 Lusk Blvd Ste F205, San Diego, CA 92121 2018-08-15
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700342748 San Diego Uptown Pediatric Medical Group, Inc Pediatrics 3500 Fifth Ave Ste 101, San Diego, CA 92103-5020 2019-02-14
1467976340 Cheryl Adele Burian Pediatrics 6572 Cascade St, San Diego, CA 92122-2425 2017-08-01
1043747819 Karen Chan Pediatrics 3030 Childrens Way Fl 4, San Diego, CA 92123-4232 2017-05-11
1922462209 Meaghan Wido Pediatrics Naval Medical Ctr 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2016-04-12
1427434679 Coast Pediatrics Carmel Valley Pediatrics 5965 Village Drive, Suite 201, San Diego, CA 92130 2015-08-10
1194104521 Charles E Pohl IIi Pediatrics 3020 Childrens Way # Mc5065, San Diego, CA 92123-4223 2015-05-18
1477948479 Thuan Diep Pediatrics 12036 Scripps Highlands Dr Ste 102, San Diego, CA 92131-5155 2015-04-06
1518352970 Karen Ki Won Lee Pediatrics 3020 Childrens Way # Mc5035, San Diego, CA 92123-4223 2015-04-02
1730594235 Jessie Su Bowers Pediatrics 12036 Scripps Highlands Dr # 102, San Diego, CA 92131-5155 2014-06-24
1154683043 Daniel Micah Lichtmann Pediatrics 15004 Innovation Drive, San Diego, CA 92128 2012-06-15
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92121

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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