Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeffrey J Hickman, IDC

Individual provider Independent Duty Corpsman · NPI 1467703868

Mr. Jeffrey J Hickman, IDC is an Independent Duty Corpsman in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

3475 Senn Rd Bldg 91
San Diego, CA 92136-5289
Phone: (619) 556-0488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1467703868
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESJanuary 24, 2019

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