Healthcare Provider Details

I. General information

NPI: 1285876615
Provider Name (Legal Business Name): MONICA P CEPIN, MD A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2009
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 H ST SUITE 2000
CHULA VISTA CA
91910-5555
US

IV. Provider business mailing address

890 EASTLAKE PKWY STE 205
CHULA VISTA CA
91914-4521
US

V. Phone/Fax

Practice location:
  • Phone: 619-427-0665
  • Fax: 619-427-3366
Mailing address:
  • Phone: 619-427-0665
  • Fax: 619-427-3366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA56350
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA56350
License Number StateCA

VIII. Authorized Official

Name: MONICA P CEPIN
Title or Position: PHYSICIAN
Credential:
Phone: 619-427-0665