MEDICARE: HOUSE OF HOPE FOUNDATION, 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	251S00000X	Community/Behavioral Health Agency	190025GN	CA
2	324500000X	Substance Abuse Rehabilitation Facility	190025GN	CA

General Provider Information

NPI Number	:	1740627843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE OF HOPE FOUNDATION, INC.

Provider Business Mailing Address
First Line	:	PO BOX 921
Second Line	:
City	:	SAN PEDRO
State	:	CA
Zip	:	90733-0921
Country	:	US
Telephone Number	:	310-521-9209
Fax Number	:	310-521-9241

Provider Business Practice Location Address
First Line	:	205 W 9TH ST
Second Line	:
City	:	SAN PEDRO
State	:	CA
Zip	:	90731-3711
Country	:	US
Telephone Number	:	310-521-9209
Fax Number	:	310-521-9241

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. MARICELA H GRAY
Credential	:
Telephone Number	:	310-521-9209

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	05/11/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1336007699 — JENNIFER M KIRKLEY
Practice Location Address:

235 W 9TH ST
SAN PEDRO, CA
90731-3711

Practice Phone: 310-831-9411
Practice Fax:

1790136364 — KELLY DANIELLE FRIDAY CATC; 112519
Practice Location Address:

235 W 9TH ST
SAN PEDRO, CA
90731-3711

Practice Phone: 310-521-9209
Practice Fax: 310-521-9241

1689129629 — MS. VALARIE ROBINSON CATC
Practice Location Address:

205 W 9TH ST
SAN PEDRO, CA
90731-3711

Practice Phone: 310-521-9209
Practice Fax: 310-521-9241

1063962553 — CLAUDIA MARIELA GONZALEZ
Practice Location Address:

235 W 9TH ST
SAN PEDRO, CA
90731-3711

Practice Phone: 310-831-9411
Practice Fax:

1457899262 — CLAUDIA MURILLO CADC II, SAP
Practice Location Address:

235 W 9TH ST
SAN PEDRO, CA
90731-3711

Practice Phone: 310-521-9209
Practice Fax: 310-521-9241

Directions to “HOUSE OF HOPE FOUNDATION, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.