Healthcare Provider Details

I. General information

NPI: 1982538179
Provider Name (Legal Business Name): AID ONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 W OCEAN BLVD STE 800
LONG BEACH CA
90802-4529
US

IV. Provider business mailing address

444 W OCEAN BLVD STE 800
LONG BEACH CA
90802-4529
US

V. Phone/Fax

Practice location:
  • Phone: 323-463-8300
  • Fax:
Mailing address:
  • Phone: 323-463-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED ALI
Title or Position: CEO
Credential:
Phone: 323-463-8300