Healthcare Provider Details

I. General information

NPI: 1902456031
Provider Name (Legal Business Name): HOPE37, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7342 ORANGETHORPE AVE STE A107
BUENA PARK CA
90621-3328
US

IV. Provider business mailing address

14035 SANTA BARBARA ST
LA MIRADA CA
90638-6596
US

V. Phone/Fax

Practice location:
  • Phone: 562-445-4735
  • Fax: 714-509-1140
Mailing address:
  • Phone: 562-445-4735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINE I KIM
Title or Position: CEO
Credential:
Phone: 562-445-4735