MEDICARE: PPP CLIENT DRIVEN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	251B00000X	Case Management Agency
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1891283305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PPP CLIENT DRIVEN LLC

Provider Business Mailing Address
First Line	:	2063 S SPRUCE ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-4833
Country	:	US
Telephone Number	:	657-456-8558
Fax Number	:	833-256-3911

Provider Business Practice Location Address
First Line	:	1407 N BATAVIA ST STE 120
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-3525
Country	:	US
Telephone Number	:	657-456-8558
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BAO TRAN LE
Credential	:
Telephone Number	:	657-456-8558

Provider Enumeration Date	:	04/30/2018
Last Update Date	:	08/26/2025

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Directions to “PPP CLIENT DRIVEN LLC ” Practice Location

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