Healthcare Provider Details

I. General information

NPI: 1366369829
Provider Name (Legal Business Name): OCD ANXIETY CENTERS CALIFORNIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27290 MADISON AVE STE 2001
TEMECULA CA
92590-5662
US

IV. Provider business mailing address

11260 S RIVER HEIGHTS DR
SOUTH JORDAN UT
84095-5119
US

V. Phone/Fax

Practice location:
  • Phone: 801-298-2000
  • Fax: 801-951-1490
Mailing address:
  • Phone: 801-298-2000
  • Fax: 801-951-1490

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: PAUL JOSEPH PETERSON
Title or Position: CEO
Credential: LCSW
Phone: 385-333-6555