Healthcare Provider Details

I. General information

NPI: 1194916478
Provider Name (Legal Business Name): DANNY A MEADOWS-PARTIDA PH.D., LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 CAMINO DEL RIO S STE 300
SAN DIEGO CA
92108-4108
US

IV. Provider business mailing address

PO BOX 123
CHULA VISTA CA
91912-0123
US

V. Phone/Fax

Practice location:
  • Phone: 619-818-9449
  • Fax: 831-244-3328
Mailing address:
  • Phone: 619-818-9449
  • Fax: 831-244-3328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 48542
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: