Healthcare Provider Details
I. General information
NPI: 1871286898
Provider Name (Legal Business Name): OCHI HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2023
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1209 SUNGLOW DR
OCEANSIDE CA
92056-2528
US
IV. Provider business mailing address
1209 SUNGLOW DR
OCEANSIDE CA
92056-2528
US
V. Phone/Fax
- Phone: 858-603-4699
- Fax:
- Phone: 858-603-4699
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IFECHI
OCHI
Title or Position: RBT
Credential: RBT
Phone: 858-603-4699