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

Renova San Diego

Organization Marriage & Family Therapist · NPI 1285362772

Renova San Diego is a Marriage & Family Therapist in San Diego, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12396 World Trade Dr Ste 109
San Diego, CA 92128-3787
Phone: (619) 895-0509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1285362772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Pederson — Clinical Director · (858) 522-0179
Other names Dr Ben Inouye And Dr Lisa J Palmer Foundation For Family
NPI enumeratedAugust 11, 2022
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address12396 World Trade Dr Ste 109, San Diego, CA 92128-3787

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