Provider Demographics
NPI:1609988476
Name:NAWROSKI-WOZNIAK, JOANNA D (MD)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:D
Last Name:NAWROSKI-WOZNIAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5064 ZIMMER CV
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2756
Mailing Address - Country:US
Mailing Address - Phone:619-698-4006
Mailing Address - Fax:619-698-4018
Practice Address - Street 1:7339 EL CAJON BLVD STE I
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-7435
Practice Address - Country:US
Practice Address - Phone:619-698-4003
Practice Address - Fax:619-698-4018
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39627207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A396270Medicaid
CA00A396270Medicaid
CAB50410Medicare UPIN