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

Paul Louis Provencio

Individual provider Social Worker · NPI 1245562743

Paul Louis Provencio is a Social Worker in San Diego, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010

Practice location Address checks out

9400 Ruffin Ct
San Diego, CA 92123-5300
Phone: (858) 514-4867
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 23582 (CA)

Record details

NPI number1245562743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2010
Last updated in NPPESFebruary 8, 2010

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