Healthcare Provider Details

I. General information

NPI: 1164061180
Provider Name (Legal Business Name): COUNTY OF ORANGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 W METROPOLITAN DR STE 405
ORANGE CA
92868-3504
US

IV. Provider business mailing address

405 W 5TH ST STE 212
SANTA ANA CA
92701-4522
US

V. Phone/Fax

Practice location:
  • Phone: 714-834-3132
  • Fax: 714-568-4362
Mailing address:
  • Phone: 714-568-5614
  • Fax: 714-834-6595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KELLY KATHLEEN SABET
Title or Position: CHIEF COMPLIANCE OFFICER
Credential: LCSW,CHC,CHPC,CHRC
Phone: 714-581-7769