Individual provider · Type 1 NPI

Amiel Elisua Zelaya Cordova

Rehabilitation Practitioner · San Diego, CA

NPI number 1063304632 Active

Practice location

5473 Kearny Villa Rd Ste 300
San Diego, CA 92123-1142

Call (619) 569-8425 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X20880 (CA)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1063304632

Amiel Elisua Zelaya Cordova's National Provider Identifier is 1063304632, issued on Jul 17, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Nov 6, 2025.