Healthcare Provider Details

I. General information

NPI: 1184475568
Provider Name (Legal Business Name): OASIS CENTER FOR INTERVENTIONAL PSYCHIATRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21700 COPLEY DR STE 180
DIAMOND BAR CA
91765-5498
US

IV. Provider business mailing address

21700 COPLEY DR STE 180
DIAMOND BAR CA
91765-5498
US

V. Phone/Fax

Practice location:
  • Phone: 909-345-6000
  • Fax:
Mailing address:
  • Phone: 909-345-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OANA GALICKI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 909-345-6000