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

Kavon Banejad

Individual provider Marriage & Family Therapist · NPI 1417886870

Kavon Banejad is a Marriage & Family Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

3333 Camino Del Rio S
San Diego, CA 92108-3808
Phone: (619) 471-7104
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 162307 (CA)

Record details

NPI number1417886870
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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