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

Individual provider Marriage & Family Therapist · NPI 1457422966

Mr. Charles Ambrose Banzon, MFT is a Marriage & Family Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

2130 National Ave
San Diego, CA 92113-2209
Phone: (619) 255-5171
Fax: (619) 269-0464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 49126 (CA)

Record details

NPI number1457422966
Entity typeIndividual (Type 1)
GenderMale
Credentials MFT
Sole proprietorYes
NPI enumeratedNovember 13, 2006
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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