MEDICARE: COMMUNITY RESEARCH FOUNDATION DYYFS

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	225400000X	Rehabilitation Practitioner
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1780518134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY RESEARCH FOUNDATION DYYFS

Provider Business Mailing Address
First Line	:	7917 OSTROW ST STE A
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3604
Country	:	US
Telephone Number	:	858-300-8282
Fax Number	:	858-300-8284

Provider Business Practice Location Address
First Line	:	7917 OSTROW ST STE A
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3604
Country	:	US
Telephone Number	:	858-300-8282
Fax Number	:	858-300-8284

Authorized Official
Title or Position	:	MHRS
Name	:	MS. LUCIE ALEJANDRA GONZALEZ
Credential	:
Telephone Number	:	858-300-8282

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/15/2026

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