Healthcare Provider Details

I. General information

NPI: 1386428597
Provider Name (Legal Business Name): HOPE PSYCHOLOGICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 STAR CANYON CIR
CORONA CA
92882-7982
US

IV. Provider business mailing address

3209 STAR CANYON CIR
CORONA CA
92882-7982
US

V. Phone/Fax

Practice location:
  • Phone: 562-787-9911
  • Fax:
Mailing address:
  • Phone: 562-787-9911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDRA LABEEB
Title or Position: OWNER
Credential:
Phone: 562-787-9911