Healthcare Provider Details

I. General information

NPI: 1851069819
Provider Name (Legal Business Name): CURT LEJANO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 TERRA NOVA BLVD
PACIFICA CA
94044-3615
US

IV. Provider business mailing address

123 EDGEMONT DR
DALY CITY CA
94015-3868
US

V. Phone/Fax

Practice location:
  • Phone: 650-550-7618
  • Fax:
Mailing address:
  • Phone: 650-550-7618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20072
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number156627
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: