Healthcare Provider Details

I. General information

NPI: 1619897295
Provider Name (Legal Business Name): FOCUS PSYCHOLOGICAL SERVICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 RUFFIN RD STE 300
SAN DIEGO CA
92123-1832
US

IV. Provider business mailing address

PO BOX 7667
NEWPORT BEACH CA
92658-7667
US

V. Phone/Fax

Practice location:
  • Phone: 949-281-0299
  • Fax:
Mailing address:
  • Phone: 949-281-0229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN ODOM
Title or Position: PRESIDENT
Credential: PHD
Phone: 949-735-0023