Healthcare Provider Details

I. General information

NPI: 1013845072
Provider Name (Legal Business Name): SENIOR CARE CONSULTING SD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8880 RIO SAN DIEGO DR STE 800
SAN DIEGO CA
92108-1642
US

IV. Provider business mailing address

8880 RIO SAN DIEGO DR STE 800
SAN DIEGO CA
92108-1642
US

V. Phone/Fax

Practice location:
  • Phone: 858-432-3245
  • Fax:
Mailing address:
  • Phone: 858-432-3245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JORGE ALEJANDRO BRICENO
Title or Position: FOUNDER
Credential: LMFT
Phone: 858-432-3245