MEDICARE: OPTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center	OT4729	CA

General Provider Information

NPI Number	:	1689881112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIONS

Provider Business Mailing Address
First Line	:	3435 CAMINO DEL RIO S
Second Line	:	SUITE # 107
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3902
Country	:	US
Telephone Number	:	619-280-8585
Fax Number	:	619-280-8641

Provider Business Practice Location Address
First Line	:	3435 CAMINO DEL RIO S
Second Line	:	SUITE # 107
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3902
Country	:	US
Telephone Number	:	619-280-8585
Fax Number	:	619-280-8641

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	08/22/2020

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Directions to “OPTIONS ” Practice Location

Language	Start Address	Practice Location

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