Basic Information
| Provider Information | |||||||||
| NPI: | 1700089455 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SCHOOL OPTIONS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8333 CLAIREMONT MESA BLVD | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921111318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8582688585 | ||||||||
| FaxNumber: | 8582685729 | ||||||||
| Practice Location | |||||||||
| Address1: | 8333 CLAIREMONT MESA BLVD | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921111318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8582688585 | ||||||||
| FaxNumber: | 8582685729 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2007 | ||||||||
| LastUpdateDate: | 01/24/2008 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | VINCENEUX | ||||||||
| AuthorizedOfficialFirstName: | CHRISTIAN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CLINIC DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8582688585 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | OT | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251C00000X | OT 6687 | CA | Y | Agencies | Day Training, Developmentally Disabled Services |
No ID Information.