SOCAL ADOLESCENT WELLNESS, INC.


Address: 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899
Phone: 9494674324

SOCAL ADOLESCENT WELLNESS, INC. (NPI# 1083230262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083230262
Entity Type Organization
Organization Name SOCAL ADOLESCENT WELLNESS, INC.
Practice Address 23072 Lake Center Dr Ste 214
Lake Forest
CA 92630-2899
Mailing Address 16052 Beach Blvd Ste 135
Huntington Beach
CA 92647-3817
Practice Telephone 9494674324
Mailing Telephone 9494674324
Enumeration Date 2020-06-23
Last Update Date 2020-06-23
Authorized Official Name REBECCA M HARRIS (CFO)
Authorized Official Telephone 9494674324
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023598299 Socal Adolescent Wellness, Inc. Clinic/Center 16052 Beach Blvd Ste 135, Huntington Beach, CA 92647-3817 2018-08-17

Office Location

Street Address 23072 LAKE CENTER DR STE 214
City LAKE FOREST
State CA
Zip Code 92630-2899

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194370338 Ashlee Nicole-morton Sourapas Midwife 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 2019-08-05
1134784879 Scott Mach Enterprises Custodial Care Facility 23235 Cavanaugh Road, Lake Forest, CA 92630 2019-05-08
1992368930 James Daniel Ticorat Pharmacist 25051 Calle Arenal, Lake Forest, CA 92630 2019-04-16
1770058349 Tara L Anderson Physician Assistant 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 2018-10-10
1659846855 Song W. Jung. Dds. Inc Dentist 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 2018-10-04
1326520867 Katherine Marie Billings Speech-Language Pathologist 25454 Navajo, Lake Forest, CA 92630 2018-08-31
1205339611 Orange County Physiotherapy Services, P.C. Physical Therapist 22821 Aspan St., #100, Lake Forest, CA 92630 2018-03-12
1295245587 Tara Rasta Chiropractor 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 2017-10-02
1750800132 Jessica Aguilar Marriage & Family Therapist 21153 Calle De Paseo, Lake Forest, CA 92630 2017-09-16
1275072589 Anhtu Wu Pharmacist 23182 Vista Way, Lake Forest, CA 92630 2017-02-20
Find all providers in zip 92630

Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508333477 Orange County Revive Services, Inc. Clinic/Center 24432 Muirlands Blvd Ste 221, Lake Forest, CA 92630-3951 2018-10-30
1346585908 South County Psychological, Inc. Clinic/Center 23832 Rockfield Blvd Ste 130, Lake Forest, CA 92630-2860 2012-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073112157 10-20 Club Inc. Clinic/Center 8221 3rd St Ste 403, Downey, CA 90241-3733 2020-10-20
1447857040 Mary Cox, Lmft Clinic/Center 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 2020-10-06
1821607771 Tonya Octave, Lcsw, Prof Corp Clinic/Center 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 2020-07-27
1972121762 Environmental Alternatives Susanville Clinic/Center 2003 Main St, Susanville, CA 96130-4501 2020-07-08
1083231781 Treehouse Child Therapy Professional Corporation Clinic/Center 514 N California Ave Ste 13, Beaumont, CA 92223-2120 2020-06-29
1447876123 P.h.i.l.o.s.adolescent Treatment Centers, Inc. Clinic/Center 454 E Cerritos St, Rialto, CA 92376-3658 2020-06-18
1669098505 Rowi Valencia, Inc. Clinic/Center 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 2020-06-16
1386267870 Bni Treatment Centers Clinic/Center 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 2020-05-19
1538781042 P.h.i.l.o.s.adolescent Treatment Centers, Inc. Clinic/Center 3872 Carthage St, Riverside, CA 92501-2102 2020-05-07
1477173813 Environmental Alternatives Clinic/Center 525 W Kettleman Ln, Lodi, CA 95240-6005 2020-04-24
Find all providers with the same taxonomy

Competitor

Search similar providers

City LAKE FOREST
Zip Code 92630

Improve Information

Please comment or provide details below to improve the information on SOCAL ADOLESCENT WELLNESS, INC..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches