NPI 1003663410
Villa Oasis San Diego Iop INC
Practice location
- Address
- 16516 Bernardo Center Dr STE 130, San Diego, CA 92128-2575
- Phone
- (562) 413-5216
- Mailing address
- PO Box 18463, Anaheim, CA 92817-8463
Authorised official
- Name
- Jesse Cook
- Title
- Program Director
- Phone
- (951) 675-8198
Registered specialties (2)
Substance Use Disorder Rehabilitation Clinic/Center
Primary
Adult Mental Health Clinic/Center
Registry record
- NPI
- 1003663410
- Entity type
- Organization
- NPI issued
- 2 May 2024
- Record last updated
- 2 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.