Healthcare Provider Details

I. General information

NPI: 1013821438
Provider Name (Legal Business Name): ALTUS SCHOOLS SOUTHERN CALIFORNIA DBA ALTUS SCHOOLS COASTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3821 PLAZA DR STE 402
OCEANSIDE CA
92056-4605
US

IV. Provider business mailing address

3821 PLAZA DR STE 402
OCEANSIDE CA
92056-4605
US

V. Phone/Fax

Practice location:
  • Phone: 858-678-2050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNULL

VIII. Authorized Official

Name: LYNNE ALIPIO
Title or Position: CHIEF BUSINESS OFFICER
Credential:
Phone: 858-678-2048