Provider Demographics
NPI:1144363102
Name:PALICA, JOANNA JADWIGA (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:JADWIGA
Last Name:PALICA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8606 MACAWA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2804
Mailing Address - Country:US
Mailing Address - Phone:858-627-9964
Mailing Address - Fax:858-630-2246
Practice Address - Street 1:1630 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-5204
Practice Address - Country:US
Practice Address - Phone:619-563-5300
Practice Address - Fax:619-590-5155
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2021-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA922282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry