Healthcare Provider Details

I. General information

NPI: 1144167693
Provider Name (Legal Business Name): SOUTH OC OPEN ARMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 S WESTERN AVE
LOS ANGELES CA
90006-5807
US

IV. Provider business mailing address

1818 S WESTERN AVE
LOS ANGELES CA
90006-5807
US

V. Phone/Fax

Practice location:
  • Phone: 714-227-9220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: HOPE PAK
Title or Position: OFFICER
Credential:
Phone: 949-241-0061