Healthcare Provider Details

I. General information

NPI: 1730026469
Provider Name (Legal Business Name): VIDHYA KUMAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13055 OLD WEST AVE
SAN DIEGO CA
92129-2404
US

IV. Provider business mailing address

13055 OLD WEST AVE
SAN DIEGO CA
92129-2404
US

V. Phone/Fax

Practice location:
  • Phone: 760-808-9965
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14388
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: