EDITH FEMATT BRIZUELA
NPI 1568061703
Counselor - Professional in San Diego, CA
Active since October 20, 2020
About Edith Fematt Brizuela NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDITH FEMATT BRIZUELA (NPI 1568061703) is an individual professional provider in San Diego, California, licensed in California (16597) and active in the NPI registry since October 2020.
NPPES Registry Identity
NPI1568061703
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEDITH FEMATT BRIZUELA
Location Address1424 30TH STSan Diego, CA 92154-3421
Mailing Address1982 Kent StChula Vista, CA 91913-2703 · (619) 519-8980
Phone(619) 565-2650
Sole ProprietorNo
Enumeration DateOctober 20, 2020
Last NPPES UpdateSeptember 10, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1568061703 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 16597
1424 30TH ST, San Diego, CA 92154
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Early Intervention Provider Agency
1424 30TH ST, SUITE A
SAN DIEGO, CA 92154
SAN DIEGO, CA 92154
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568061703, enumerated as an "individual" on October 20, 2020.
The provider is located at 1424 30TH ST SAN DIEGO, CA 92154 and the phone number is (619) 565-2650.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
