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

MS. Breanna Domonique Trejo I, SUDRC

Individual provider Rehabilitation Practitioner · NPI 1154207991

MS. Breanna Domonique Trejo I, SUDRC is a Rehabilitation Practitioner in San Diego, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

5473 Kearny Villa Rd
San Diego, CA 92123-1150
Phone: (855) 325-8428
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 18152 (CA)

Record details

NPI number1154207991
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Other providers in San Diego