Individual
BREANA BENFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
852 5TH AVE STE 230, SAN DIEGO, CA 92101-6108
(951) 269-3797
Mailing address
852 5TH AVE STE 230, SAN DIEGO, CA 92101-6108
(951) 269-3797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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