Healthcare Provider Details

I. General information

NPI: 1013846328
Provider Name (Legal Business Name): WORK CREATION PROGRAM,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 OLD TUSTIN AVE
SANTA ANA CA
92705-7812
US

IV. Provider business mailing address

21224 VENTURA BLVD
WOODLAND HILLS CA
91364-2106
US

V. Phone/Fax

Practice location:
  • Phone: 714-245-4991
  • Fax:
Mailing address:
  • Phone: 949-394-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BEN BEHZADI
Title or Position: EXECUTIVE DIRECTOR
Credential: BSBA
Phone: 949-394-4400