Healthcare Provider Details

I. General information

NPI: 1972443604
Provider Name (Legal Business Name): BELCADI PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 EXECUTIVE SQUARE SUITE 600
LA JOLLA CA
92037
US

IV. Provider business mailing address

3225 EXECUTIVE SQUARE SUITE 600
LA JOLLA CA
92037
US

V. Phone/Fax

Practice location:
  • Phone: 805-368-4991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MOUNIR BELCADI
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 805-368-4991