Healthcare Provider Details
I. General information
NPI: 1710819388
Provider Name (Legal Business Name): OHANA PSYCHOLOGY GROUP, A.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
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
- Phone: 562-299-4759
- Fax:
- Phone: 562-299-4759
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANGELICA
GONZALES
Title or Position: OWNER
Credential: PSYD
Phone: 562-418-8067