OrganizationActive
Socal Adolescent Wellness, Inc.
NPI 1972375715 · Adolescent and Children Mental Health Clinic/Center · Lake Forest, CA
Provider details
- NPI number
- 1972375715
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rebecca Harris, Cfo(949) 467-4324
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22471 Aspan St Ste 110
Lake Forest, CA 92630-1644
Phone: (714) 465-2305
Street-level locationGet directions
Mailing address
16168 Beach Blvd Ste 170
Huntington Beach, CA 92647-3878
Registry dates
- Enumerated
- 2023-10-25
- Last updated
- 2023-10-25
- Certified
- 2023-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.