# EATING DISORDER CENTER OF SAN DIEGO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215165253
- **Authorized official:** PAGE M LAUER MFT (OWNER/DIRECTOR)
- **Authorized official phone:** (858) 353-5378

## Contact information

- **Practice address:** 740 LOMAS SANTA FE DR, SUITE 205, SOLANA BEACH, CA 92075-1495
- **Practice address phone:** (858) 353-5378
- **Practice address fax:** (858) 876-1863
- **Mailing address:** 740 LOMAS SANTA FE DR, SUITE 205, SOLANA BEACH, CA 92075-1495
- **Mailing address phone:** (858) 353-5378
- **Mailing address fax:** (858) 876-1863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC 40096 | CA | Yes |

## Other

- **Enumeration date:** 06/29/2009
- **Last updated:** 06/29/2009