Healthcare Provider Details

I. General information

NPI: 1831408509
Provider Name (Legal Business Name): DIDI HIRSCH PSYCHIATRIC SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E 4TH ST STE 201
SANTA ANA CA
92705-3907
US

IV. Provider business mailing address

4760 SEPULVEDA BLVD
CULVER CITY CA
90230-4820
US

V. Phone/Fax

Practice location:
  • Phone: 714-547-0885
  • Fax:
Mailing address:
  • Phone: 310-390-6612
  • 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: DULCE M RUIZ
Title or Position: FINANCE COMPLIANCE MANAGER
Credential:
Phone: 310-751-5442