# EASTSIDE PSYCHOLOGICAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1972926442
- **Authorized official:** OCTAVIO DELGADO PSYCHOLOGIST (PRES/CEO)
- **Authorized official phone:** (323) 890-0180

## Contact information

- **Practice address:** 111 S GARFIELD AVE, SUITE 101, MONTEBELLO, CA 90640-3800
- **Practice address phone:** (323) 890-0180
- **Practice address fax:** (323) 890-1167
- **Mailing address:** 1600 E 4TH ST, SUITE 100, SANTA ANA, CA 92701-5100
- **Mailing address phone:** (657) 622-0363
- **Mailing address fax:** (657) 622-0379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | PSY12523 | CA | Yes |

## Other

- **Enumeration date:** 02/03/2014
- **Last updated:** 02/06/2014