MEDICARE: ORANGE COUNTY BEHAVIORAL SCIENCES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710179049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGE COUNTY BEHAVIORAL SCIENCES INC.

Provider Business Mailing Address
First Line	:	1439 W CHAPMAN AVE
Second Line	:	# 84
City	:	ORANGE
State	:	CA
Zip	:	92868-2738
Country	:	US
Telephone Number	:	714-319-1761
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 S BEACH BLVD
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3102
Country	:	US
Telephone Number	:	714-816-7050
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YUN SUK CHONG
Credential	:	M.D.
Telephone Number	:	714-319-1761

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	07/21/2022

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