Reignite Brilliance, Llc

Specialty details in registry · San Diego, CA

Call (858) 882-7872 Directions

At a glance

5252 Balboa Ave Ste 803, San Diego, CA 92117-6920

NPPES record updated Apr 29, 2024. Public records can lag behind changes at a practice.

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Practice location

5252 Balboa Ave Ste 803
San Diego, CA 92117-6920

Professional details: NPI, taxonomy & registry record

NPI1306692389

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 106H00000X
Enumeration date: Apr 29, 2024
Record updated: Apr 29, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

106H00000X · Primary

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

Practice location

5252 Balboa Ave Ste 803
San Diego, CA 92117-6920

Phone: (858) 882-7872

Mailing address

PO BOX 17369

SAN DIEGO, CA 921777369

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

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