Provider Demographics
NPI:1740177120
Name:CHANGING OPTIONS SD, INC.
Entity type:Organization
Organization Name:CHANGING OPTIONS SD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-278-8883
Mailing Address - Street 1:335 N PUENTE ST STE A
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5274
Mailing Address - Country:US
Mailing Address - Phone:760-278-8883
Mailing Address - Fax:760-789-3220
Practice Address - Street 1:500 3RD ST
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-2406
Practice Address - Country:US
Practice Address - Phone:760-278-8883
Practice Address - Fax:760-789-3220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health