Jean Rizkallah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEAN RIZKALLAH, MD

Practice address

450 Fouth Ave
Ste 407
Chula Vista, CA 91910-0000

Phone

(619) 691-1990

Fax

(619) 691-5977

NPI assigned

May 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jean Rizkallah, M.D.

Title

Physician/Owner

Phone

(619) 691-1990

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174841936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FOUTH AVE",
            "address_2": "STE 407",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919100000",
            "telephone_number": "619-691-1990",
            "fax_number": "619-691-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FOUTH AVE",
            "address_2": "STE 407",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919100000",
            "telephone_number": "619-691-1990",
            "fax_number": "619-691-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN RIZKALLAH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RIZKALLAH",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "619-691-1990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003800368",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucila Guadalupe Jasso
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• Therese Anne Marie Javier, PA-C
• JC Chiropractic, P.C.
• Jean Rizkallah, MD, Inc
• Michael Anthony Jean-Baptiste, NP
• Jeannette del Valle MD, Inc.
• VI Jebo
• Emil Paul Jech, LCSW

• Family Medicine Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.