| Kykeon Pc | |
|
727 Sapphire St Unit 305 San Diego CA 92109 | |
| (720) 853-8874 | |
| Not Available |
| Full Name | Kykeon Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 727 Sapphire St, San Diego, California |
| Authorized Official Name and Position | Matthew Milford (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 4088579016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kykeon Pc 727 Sapphire St Unit 305 San Diego CA 92109-1023 Ph: (408) 857-9016 | Kykeon Pc 727 Sapphire St Unit 305 San Diego CA 92109 Ph: (720) 853-8874 |
| NPI Number | 1679443113 |
|---|---|
| Provider Enumeration Date | 11/10/2025 |
| Last Update Date | 11/10/2025 |
| Certification Date | 10/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679443113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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