MEDICARE: CEASAR MUNOZ .

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1962567578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CEASAR MUNOZ .

Provider Business Mailing Address
First Line	:	4930 GARY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-2633
Country	:	US
Telephone Number	:	619-287-3939
Fax Number	:

Provider Business Practice Location Address
First Line	:	4930 GARY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-2633
Country	:	US
Telephone Number	:	619-287-3939
Fax Number	:

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	12/21/2025

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Directions to “ CEASAR MUNOZ .” Practice Location

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