Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prizila Dajia Vidal, MPSS-LIADFM

Individual provider Contractor · NPI 1043795164

Prizila Dajia Vidal, MPSS-LIADFM is a Contractor in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
7
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Practice location Address checks out

415 Laurel St Pmb 531
San Diego, CA 92101
Phone: (619) 755-4737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X
Homemaker Taxonomy 376J00000X
Community Health Worker Taxonomy 172V00000X
Peer Specialist Taxonomy 175T00000X · Licence MPSS-LIADFM (CA)
Health & Wellness Coach Taxonomy 171400000X · Licence DB365140CB (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 23070 (CA)
Personal Care Attendant Taxonomy 3747P1801X · Licence 7506073033 (CA)

Record details

NPI number1043795164
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPSS-LIADFM
Sole proprietorYes
NPI enumeratedSeptember 25, 2018
Last updated in NPPESMay 30, 2026
Certification dateMay 30, 2026

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