Healthcare Provider Details

I. General information

NPI: 1659293462
Provider Name (Legal Business Name): ENGY NAKHLA ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 CAMINO DEL RIO S STE 101
SAN DIEGO CA
92108-3734
US

IV. Provider business mailing address

27705 HERITAGE LN
VALLEY CENTER CA
92082-6961
US

V. Phone/Fax

Practice location:
  • Phone: 619-241-2309
  • Fax:
Mailing address:
  • Phone: 760-504-5220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number131372
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: