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

Porta Verum

Organization Clinical Social Worker · NPI 1740534239

Porta Verum is a Clinical Social Worker in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

2630 1st Ave Ste 205
San Diego, CA 92103-6599
Phone: (619) 866-4620
Fax: (619) 324-1023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 25403 (CA)

Record details

NPI number1740534239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Kettula — Owner · (619) 866-4620
NPI enumeratedNovember 5, 2012
Last updated in NPPESNovember 18, 2013
Mailing address2630 1st Ave, Suite 205, San Diego, CA 92103-6599

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