MEDICARE: KRISTEN MARIE GIAMONA PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY28419	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1245393503	OTHER	CA	NPI

General Provider Information

NPI Number	:	1376824383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN MARIE GIAMONA PSY.D

Provider Business Mailing Address
First Line	:	6973 LINDA VISTA RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-6342
Country	:	US
Telephone Number	:	858-279-9676
Fax Number	:	858-279-0377

Provider Business Practice Location Address
First Line	:	6973 LINDA VISTA RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-6342
Country	:	US
Telephone Number	:	858-279-9676
Fax Number	:	858-279-0377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2011
Last Update Date	:	05/12/2026

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