# SAN DIEGO KIDS FIRST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376007815
- **Authorized official:** DR. DEBORAH PONTILLO PH.D (PSYCHOLOGIST)
- **Authorized official phone:** (858) 692-4187

## Contact information

- **Practice address:** 12625 HIGH BLUFF DR STE 111, SAN DIEGO, CA 92130-2053
- **Practice address phone:** (858) 692-4187
- **Mailing address:** 12625 HIGH BLUFF DR STE 111, SAN DIEGO, CA 92130-2053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2019
- **Last updated:** 01/29/2019