Healthcare Provider Details

I. General information

NPI: 1316680432
Provider Name (Legal Business Name): DEAN ANGEL BEJAOUI PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2022
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 N MAGNOLIA AVE STE 110
EL CAJON CA
92020-3610
US

IV. Provider business mailing address

5060 SHOREHAM PL STE 330
SAN DIEGO CA
92122-5976
US

V. Phone/Fax

Practice location:
  • Phone: 619-440-5133
  • Fax:
Mailing address:
  • Phone: 877-840-6956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95027730
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: