EPIDAURUS NPI 1417434176

NPI Information

  • NPI: 1417434176
  • Provider Name: EPIDAURUS
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: AMITY FOUNDATION
  • Address: 2260 WATSON WAY
    VISTA, CA
    ZIP 92083
  • Phone: (760) 559-1802

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NPI Details

EPIDAURUS is a rehabilitation and substance use disorder clinic center in Vista, CA. EPIDAURUS NPI is 1417434176. The provider is registered as an organization entity type.
The provider Is Doing Business As Amity Foundation.

The provider's business location address is:

2260 WATSON WAY
VISTA, CA
ZIP 92083-924
Phone: (760) 559-1802

The provider's authorized official is Olga Mellizo .
The authorized official title is Director Of Grant Development and has the following contact phone number (970) 889-2351.

The enumeration date for this NPI number is 7/25/2018 and was last updated on 7/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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