Healthcare Provider Details

I. General information

NPI: 1326899188
Provider Name (Legal Business Name): OHANA BEHAVIORAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2024
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 PARAMOUNT BLVD STE 222
DOWNEY CA
90240-3853
US

IV. Provider business mailing address

9901 PARAMOUNT BLVD STE 222
DOWNEY CA
90240-3853
US

V. Phone/Fax

Practice location:
  • Phone: 562-454-7998
  • Fax: 562-222-3054
Mailing address:
  • Phone: 562-299-4759
  • Fax: 562-222-3054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELICA GONZALES
Title or Position: CEO
Credential: PSYD, BCBA
Phone: 562-299-4759