=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275477556
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KYLEE R BRAUN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2026
-----------------------------------------------------
Last Update Date | 04/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2851 CAMINO DEL RIO S STE 300
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92108-3814
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-500-3325
-----------------------------------------------------
Fax | 760-800-4099
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 314 S MELROSE DR STE 100
-----------------------------------------------------
City | VISTA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92081-6669
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-500-3325
-----------------------------------------------------
Fax | 760-800-4099
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 160234
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------