Healthcare Provider Details

I. General information

NPI: 1972455889
Provider Name (Legal Business Name): DEL RAE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6710 CORNERSTONE CT E #300
SAN DIEGO CA
92121
US

IV. Provider business mailing address

6170 CORNERSTONE CT E STE 300
SAN DIEGO CA
92121-3767
US

V. Phone/Fax

Practice location:
  • Phone: 619-227-9731
  • Fax:
Mailing address:
  • Phone: 619-227-9731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MONICA PERSONS
Title or Position: OWNER
Credential:
Phone: 619-227-9731