Individual
EMILY MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 KEMPER ST, SAN DIEGO, CA 92110-4906
(619) 523-8121
Mailing address
3340 KEMPER ST, SAN DIEGO, CA 92110-4906
(619) 523-8121
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NEFUTQ
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3737100
—
CA
Enumeration date
06/24/2026
Last updated
06/24/2026
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