BLAST OFF CHILDREN'S THERAPY SERVICES INC. NPI 1518390616

NPI Information

  • NPI: 1518390616
  • Provider Name: BLAST OFF CHILDREN'S THERAPY SERVICES, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 9520 PADGETT ST
    SUITE 104
    SAN DIEGO, CA
    ZIP 92126
  • Phone: (858) 866-8133

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NPI Details

BLAST OFF CHILDREN'S THERAPY SERVICES, INC. is a clinic center in San Diego, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BLAST OFF CHILDREN'S THERAPY SERVICES, INC. NPI is 1518390616. The provider is registered as an organization entity type.

The provider's business location address is:

9520 PADGETT ST
SUITE 104
SAN DIEGO, CA
ZIP 92126-445
Phone: (858) 866-8133
Fax: (858) 999-2002

The provider's authorized official is Luann H. Lower .
The authorized official title is President, Ceo and has the following contact phone number (858) 866-8133.

The enumeration date for this NPI number is 8/13/2013 and was last updated on 8/13/2013.

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
1261Q00000XClinic/Center13795CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113795OTHERCALIFORNIASLP LICENSE

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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