Community Reunification Project

Specialty details in registry · San Diego, CA

Call (619) 324-4893 Directions

At a glance

6280 Jackson Dr Ste 8, San Diego, CA 92119-3436

NPPES record updated Aug 5, 2025. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

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

Practice location

6280 Jackson Dr Ste 8
San Diego, CA 92119-3436
Professional details: NPI, taxonomy & registry record
NPI1629750955
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QR0405X
Enumeration date
Aug 4, 2023
Record updated
Aug 5, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YA0400X

Specialty details in registry

103TC1900X

Specialty details in registry

103TP2701X

Specialty details in registry

106H00000X

Specialty details in registry

251S00000X

Specialty details in registry

261QM0850X

Specialty details in registry

261QR0405X · Primary

Specialty details in registry

324500000X

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

Practice location

6280 Jackson Dr Ste 8
San Diego, CA 92119-3436
Phone
(619) 324-4893
Fax
(888) 744-5486
Mailing address
1741 EASTLAKE PKWY STE 102-176

CHULA VISTA, CA 919152032
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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