Provider Demographics
NPI:1063198067
Name:OCEANSIDE CLINICS
Entity type:Organization
Organization Name:OCEANSIDE CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-601-8858
Mailing Address - Street 1:6710 CALLE KORAL APT 304
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-5362
Mailing Address - Country:US
Mailing Address - Phone:323-601-8858
Mailing Address - Fax:
Practice Address - Street 1:6710 CALLE KORAL APT 304
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-5362
Practice Address - Country:US
Practice Address - Phone:323-601-8858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty