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SELINA JADE PRESTON CSOM NPI 1265034409


NPI Information

NPI: 1265034409
Provider Name: SELINA JADE PRESTON, CSOM
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
16767 BERNARDO CENTER DR # 27384
SAN DIEGO, CA
ZIP 92128
Phone: (858) 848-9660
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Selina Jade Preston, CSOM is a specialist in San Diego, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Selina Jade Preston, CSOM NPI is 1265034409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16767 BERNARDO CENTER DR # 27384
SAN DIEGO, CA
ZIP 92128-509
Phone: (858) 848-9660

The enumeration date for this NPI number is 11/12/2020 and was last updated on 11/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental Hygienist31496CALIFORNIANo
2174400000XSpecialistCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.