Healthcare Provider Details

I. General information

NPI: 1689521015
Provider Name (Legal Business Name): ABILITY BB SAN DIEGO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10175 RANCHO CARMEL DR STE 124
SAN DIEGO CA
92128-3675
US

IV. Provider business mailing address

10175 RANCHO CARMEL DR STE 124
SAN DIEGO CA
92128-3675
US

V. Phone/Fax

Practice location:
  • Phone: 858-324-5545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRIS MABRY
Title or Position: SOLE MEMBER
Credential: DC
Phone: 419-543-6767