Healthcare Provider Details

I. General information

NPI: 1417598319
Provider Name (Legal Business Name): OPEN HEART LEADERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 UNIVERSITY AVE STE 115
LA MESA CA
91942-0523
US

IV. Provider business mailing address

7373 UNIVERSITY AVE STE 115
LA MESA CA
91942-0523
US

V. Phone/Fax

Practice location:
  • Phone: 858-256-6736
  • Fax:
Mailing address:
  • Phone: 858-256-6736
  • Fax: 858-225-5923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: APRIL LASTER
Title or Position: CEO
Credential:
Phone: 858-848-5239