Healthcare Provider Details

I. General information

NPI: 1780695890
Provider Name (Legal Business Name): BRUCE V. FIGUERED,PH.D. A PROFESSIONALPSYCHOLOGY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 06/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14750 EL CAMINO REAL
DEL MAR CA
92014-4204
US

IV. Provider business mailing address

9777 VALLEY RANCH RD
EL CAJON CA
92021-2347
US

V. Phone/Fax

Practice location:
  • Phone: 858-724-2134
  • Fax:
Mailing address:
  • Phone: 866-284-2771
  • Fax: 800-334-1041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY18899
License Number StateCA

VIII. Authorized Official

Name: MR. BRUCE V FIGUERED
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 858-724-2134