Individual
EMMANUEL SEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1259 CAMINO CARMELO UNIT 121, CHULA VISTA, CA 91913-3389
(619) 944-4475
Mailing address
1259 CAMINO CARMELO UNIT 121, CHULA VISTA, CA 91913-3389
(619) 944-4475
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
95032477
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032477
CA
Other
Enumeration date
10/10/2024
Last updated
03/31/2026
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