Individual
DOMINIC BRICHETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 LOMALAND DR, SAN DIEGO, CA 92106-2899
(619) 849-2200
Mailing address
13216 WIMBERLY SQ UNIT 180, SAN DIEGO, CA 92128-6019
(858) 519-6307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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