Healthcare Provider Details

I. General information

NPI: 1770487845
Provider Name (Legal Business Name): GINA MEEGAN GEITH DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10856 POINTED OAK LN
SAN DIEGO CA
92131-2605
US

IV. Provider business mailing address

10856 POINTED OAK LN
SAN DIEGO CA
92131-2605
US

V. Phone/Fax

Practice location:
  • Phone: 858-722-6523
  • Fax: 858-547-3653
Mailing address:
  • Phone: 858-722-6523
  • Fax: 858-547-3653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number013597
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: