# PROGRAM FOR TORTURE VICTIMS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588421192
- **Authorized official:** ANA GRANDE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (213) 384-4788

## Contact information

- **Practice address:** 1505 E 17TH ST STE 222, SANTA ANA, CA 92705-8520
- **Practice address phone:** (213) 384-4788
- **Mailing address:** 3550 WILSHIRE BLVD STE 1960, LOS ANGELES, CA 90010-2401
- **Mailing address phone:** (213) 384-4788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/29/2024
- **Last updated:** 02/29/2024