Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cctc, Corp

Organization Nurse Practitioner · NPI 1538623681

Cctc, Corp is a Nurse Practitioner in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6244 El Cajon Blvd
San Diego, CA 92115-3918
Phone: (888) 628-6680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1538623681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enrique Chung — President · (619) 253-6451
NPI enumeratedJanuary 23, 2019
Last updated in NPPESJanuary 23, 2019
Mailing address1215 Hopland Ct, Chula Vista, CA 91913-1438

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