OrganizationActive
Advantage Psychology Professional Corporation
NPI 1093693954 · Mental Health Clinic/Center (Including Community Mental Health Center) · La Jolla, CA
Provider details
- NPI number
- 1093693954
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Oksana Lanious, Director
Practice location
7946 Ivanhoe Ave Ste 205
La Jolla, CA 92037-4517
Phone: (619) 414-2810
Mailing address
7946 Ivanhoe Ave Ste 205
La Jolla, CA 92037-4517
Registry dates
- Enumerated
- 2025-08-26
- Last updated
- 2025-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.