MEDICARE: OHANA PSYCHOLOGY GROUP, A.P.C.

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1710819388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHANA PSYCHOLOGY GROUP, A.P.C.

Provider Business Mailing Address
First Line	:	9901 PARAMOUNT BLVD STE 222
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-3853
Country	:	US
Telephone Number	:	562-299-4759
Fax Number	:

Provider Business Practice Location Address
First Line	:	9901 PARAMOUNT BLVD STE 222
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-3853
Country	:	US
Telephone Number	:	562-299-4759
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANGELICA GONZALES
Credential	:	PSYD
Telephone Number	:	562-418-8067

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

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