Healthcare Provider Details

I. General information

NPI: 1255248258
Provider Name (Legal Business Name): CLARVIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3870 MURPHY CANYON RD STE 320-325
SAN DIEGO CA
92123-4446
US

IV. Provider business mailing address

218 RANCHO DEL ORO DR APT 123
OCEANSIDE CA
92057-7304
US

V. Phone/Fax

Practice location:
  • Phone: 858-300-0460
  • Fax:
Mailing address:
  • Phone: 858-262-8545
  • Fax: 858-262-8545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER EMORY
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 858-262-8545