Opal Psychological Professional Corporation

Specialty details in registry · San Diego, CA

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At a glance

4210 Brooke Ct Unit 1405, San Diego, CA 92122-5362

NPPES record updated Apr 28, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4210 Brooke Ct Unit 1405
San Diego, CA 92122-5362

Professional details: NPI, taxonomy & registry record

NPI1306634654

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103TH0004X
Enumeration date: Apr 28, 2025
Record updated: Apr 28, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TH0004X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4210 Brooke Ct Unit 1405
San Diego, CA 92122-5362

Phone: (619) 259-0107

Mailing address

1111 6TH AVE STE 550
#292745
SAN DIEGO, CA 92101

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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