Healthcare Provider Details

I. General information

NPI: 1689881112
Provider Name (Legal Business Name): OPTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 CAMINO DEL RIO S SUITE # 107
SAN DIEGO CA
92108-3902
US

IV. Provider business mailing address

3435 CAMINO DEL RIO S SUITE # 107
SAN DIEGO CA
92108-3902
US

V. Phone/Fax

Practice location:
  • Phone: 619-280-8585
  • Fax: 619-280-8641
Mailing address:
  • Phone: 619-280-8585
  • Fax: 619-280-8641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberOT4729
License Number StateCA

VIII. Authorized Official

Name: MS. CAROL JANE HUBBARD
Title or Position: GENERAL PARTNER-ADMINISTRATOR
Credential: OTR-L
Phone: 619-280-8585