Healthcare Provider Details

I. General information

NPI: 1114201191
Provider Name (Legal Business Name): CINTHYA ALEJANDRA YAPTANGCO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 IRIS AVE
SAN DIEGO CA
92154-3338
US

IV. Provider business mailing address

670 L ST
CHULA VISTA CA
91911-1065
US

V. Phone/Fax

Practice location:
  • Phone: 619-628-4000
  • Fax:
Mailing address:
  • Phone: 619-796-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number76773
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number76773
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number76773
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: