Healthcare Provider Details

I. General information

NPI: 1205121761
Provider Name (Legal Business Name): SUNNY DAYS EARLY CHILDHOOD DEVELOPMENTAL SERVICES OF CA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 06/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 AERO DR SUITE 238
SAN DIEGO CA
92123-1792
US

IV. Provider business mailing address

8775 AERO DR SUITE 238
SAN DIEGO CA
92123-1792
US

V. Phone/Fax

Practice location:
  • Phone: 805-571-0300
  • Fax: 858-571-0050
Mailing address:
  • Phone: 805-571-0300
  • Fax: 858-571-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. CAMERON MICHAEL STONE
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 858-571-0030