Provider Demographics
NPI:1356536395
Name:GIAMBRUNO, PIA (IMF)
Entity type:Individual
Prefix:
First Name:PIA
Middle Name:
Last Name:GIAMBRUNO
Suffix:
Gender:F
Credentials:IMF
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:PIA
Other - Last Name:GIAMBRUNO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:IMF
Mailing Address - Street 1:6474 LIPMANN ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-2530
Mailing Address - Country:US
Mailing Address - Phone:858-455-5833
Mailing Address - Fax:
Practice Address - Street 1:7339 EL CAJON BLVD STE K
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-3435
Practice Address - Country:US
Practice Address - Phone:619-668-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist