Healthcare Provider Details

I. General information

NPI: 1356829550
Provider Name (Legal Business Name): BELLA GIANA PRESTIANNI THOMPSON AMFT142557
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BELLA PRESTIANNI

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10717 CAMINO RUIZ STE 207
SAN DIEGO CA
92126-2364
US

IV. Provider business mailing address

10717 CAMINO RUIZ STE 207
SAN DIEGO CA
92126-2364
US

V. Phone/Fax

Practice location:
  • Phone: 858-695-2211
  • Fax:
Mailing address:
  • Phone: 858-695-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162321
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: