Organization
RADY CHILDREN'S OUTPATIENT PSYCHAITRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY LANING MFT (CLINIC COORDINATOR)
(760) 758-1480
Entity
Organization
Contact information
Practice address
3142 VISTA WAY STE 205, OCEANSIDE, CA 92056-3628
(760) 758-1480
Mailing address
2148 FENTON PKWY APT 209, SAN DIEGO, CA 92108-6710
(414) 704-0009
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/21/2022
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