Provider Demographics
NPI:1689194375
Name:SEKIBO, TUMINI (PSYD)
Entity type:Individual
Prefix:DR
First Name:TUMINI
Middle Name:
Last Name:SEKIBO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1339 ORANGE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-2947
Mailing Address - Country:US
Mailing Address - Phone:619-693-1471
Mailing Address - Fax:
Practice Address - Street 1:1339 ORANGE AVE STE 2
Practice Address - Street 2:
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-2947
Practice Address - Country:US
Practice Address - Phone:619-554-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32843103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical