Eating Disorder Center of San Diego

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 40096 Issued in CA

Legal business name

EATING DISORDER CENTER OF SAN DIEGO

Practice address

740 Lomas Santa Fe Dr
Suite 205
Solana Beach, CA 92075-1495

Phone

(858) 353-5378

Fax

(858) 876-1863

NPI assigned

Jun 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Page M Lauer, MFTNPI 1023240223

Title

Owner/Director

Phone

(858) 353-5378

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Page M Lauer, MFT

  • Marriage & Family Therapist
  • Solana Beach, CA
  • NPI 1023240223
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1215165253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 LOMAS SANTA FE DR",
            "address_2": "SUITE 205",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751495",
            "telephone_number": "858-353-5378",
            "fax_number": "858-876-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 LOMAS SANTA FE DR",
            "address_2": "SUITE 205",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751495",
            "telephone_number": "858-353-5378",
            "fax_number": "858-876-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER CENTER OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "LAUER",
        "authorized_official_first_name": "PAGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "858-353-5378",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 40096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.