| Villa Oasis San Diego Iop Inc | |
|
16516 Bernardo Center Dr Ste 130 San Diego CA 92128-2575 | |
| (562) 413-5216 | |
| Not Available |
| Full Name | Villa Oasis San Diego Iop Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 16516 Bernardo Center Dr Ste 130, San Diego, California |
| Authorized Official Name and Position | Jesse Cook (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9516758198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villa Oasis San Diego Iop Inc Po Box 18463 Anaheim CA 92817-8463 Ph: (562) 413-5216 | Villa Oasis San Diego Iop Inc 16516 Bernardo Center Dr Ste 130 San Diego CA 92128-2575 Ph: (562) 413-5216 |
| NPI Number | 1003663410 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003663410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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