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

Alyssa Pettingill, CCLS

Individual provider Specialist · NPI 1407558208

Alyssa Pettingill, CCLS is a Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

4412 Boundary St
San Diego, CA 92116-4301
Phone: (916) 402-3384
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 30998 (CA)

Record details

NPI number1407558208
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCLS
Sole proprietorNo
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

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