Healthcare Provider Details

I. General information

NPI: 1821973983
Provider Name (Legal Business Name): CENTER FOR NEUROHEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4180 LA JOLLA VILLAGE DR STE 240
LA JOLLA CA
92037-1471
US

IV. Provider business mailing address

4180 LA JOLLA VILLAGE DR STE 240
LA JOLLA CA
92037-1471
US

V. Phone/Fax

Practice location:
  • Phone: 866-277-2659
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA ORLIAC
Title or Position: GENERAL COUNSEL
Credential:
Phone: 866-447-2551