Healthcare Provider Details

I. General information

NPI: 1760963466
Provider Name (Legal Business Name): BELLA MENTE MONTESSORI ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2018
Last Update Date: 05/20/2021
Certification Date: 05/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1737 W VISTA WAY
VISTA CA
92083-2112
US

IV. Provider business mailing address

1737 W VISTA WAY
VISTA CA
92083-2112
US

V. Phone/Fax

Practice location:
  • Phone: 760-621-4948
  • Fax: 760-639-0611
Mailing address:
  • Phone: 760-621-4948
  • Fax: 760-639-0611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number37684520128223
License Number StateCA

VIII. Authorized Official

Name: DR. REBECCA MCQUESTION
Title or Position: ASSISTANT PRINCIPAL
Credential:
Phone: 760-621-8948