MEDICARE: DR. ALICIA GWYNN

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
1	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1295523264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA GWYNN

Provider Business Mailing Address
First Line	:	14374 OLD CREEK RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-4274
Country	:	US
Telephone Number	:	619-977-9295
Fax Number	:

Provider Business Practice Location Address
First Line	:	14374 OLD CREEK RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-4274
Country	:	US
Telephone Number	:	619-977-9295
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1609277136 — MARA JUSTICE
Practice Location Address:

450 A ST
SAN DIEGO, CA
92101-4274

Practice Phone: 619-544-1435
Practice Fax:

1790140077 — MEDARTS WEIGHT LOSS SPECIALIST INC
Practice Location Address:

450 A ST , SUITE 400
SAN DIEGO, CA
92101-4274

Practice Phone: 619-866-3333
Practice Fax: 619-358-9268

1902381817 — ALEAH MORGAN MAAS
Practice Location Address:

3527 31ST ST APT 1
SAN DIEGO, CA
92104-4274

Practice Phone: 419-633-2756
Practice Fax:

1629713896 — SUNNY DAYS MEDICAL TRANSPORT
Practice Location Address:

1840 DEEP HAVEN LN
SAN DIEGO, CA
92154-4274

Practice Phone: 619-261-7978
Practice Fax:

1134909757 — MRS. MORWENNA ELIZABETH BALDESSARI M.A., CCC-SLP
Practice Location Address:

1264 GRAND AVE
SAN DIEGO, CA
92109-4274

Practice Phone: 732-616-0743
Practice Fax:

Directions to “ DR. ALICIA GWYNN ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.