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NPI Code Detail

MEDICARE: KAITLYN OVIEDO

MEDICARE: KAITLYN OVIEDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family Therapist119827CA

General Provider Information

NPI Number : 1013392588
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN OVIEDO
Provider Business Mailing Address
First Line : 3539 COLLEGE AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-7032
Country : US
Telephone Number : 619-818-3788
Fax Number :
Provider Business Practice Location Address
First Line : 3539 COLLEGE AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-7032
Country : US
Telephone Number : 619-818-3788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2015
Last Update Date : 03/04/2022

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Directions to “ KAITLYN OVIEDO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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