Healthcare Provider Details

I. General information

NPI: 1881573376
Provider Name (Legal Business Name): FINSOUT 3, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 MORENA BLVD STE 109
SAN DIEGO CA
92117-3370
US

IV. Provider business mailing address

PO BOX 90097
SAN DIEGO CA
92169-2097
US

V. Phone/Fax

Practice location:
  • Phone: 858-412-3010
  • Fax:
Mailing address:
  • Phone: 714-813-5002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHELLEY R SKAGGS
Title or Position: CONSULTANT
Credential:
Phone: 714-813-5002