| San Diego Kids First | |
|
12625 High Bluff Dr Ste 111 San Diego CA 92130-2053 | |
| (858) 692-4187 | |
| Not Available |
| Full Name | San Diego Kids First |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 12625 High Bluff Dr Ste 111, San Diego, California |
| Authorized Official Name and Position | Deborah Pontillo (PSYCHOLOGIST) |
| Authorized Official Contact | 8586924187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Kids First 12625 High Bluff Dr Ste 111 San Diego CA 92130-2053 Ph: () - | San Diego Kids First 12625 High Bluff Dr Ste 111 San Diego CA 92130-2053 Ph: (858) 692-4187 |
| NPI Number | 1376007815 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 01/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376007815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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