Individual
BRENDA CHILAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 FIFTH AVE STE 100, SAN DIEGO, CA 92103-3108
(619) 238-4318
Mailing address
3761 UDALL ST, SAN DIEGO, CA 92107-2447
(619) 519-9923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53434
CA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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