Healthcare Provider Details
I. General information
NPI: 1124971312
Provider Name (Legal Business Name): LA JOLLA PSYCHOLOGICAL SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/17/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7440 GIRARD AVE
LA JOLLA CA
92037-0010
US
IV. Provider business mailing address
PO BOX 2972
LA JOLLA CA
92038-2972
US
V. Phone/Fax
- Phone: 858-609-9173
- Fax: 844-469-0991
- Phone: 858-609-9173
- Fax: 844-469-0991
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BERNADETTE
DI TORO
Title or Position: PRESIDENT
Credential:
Phone: 858-609-9173