GHC of MLK LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GHC OF MLK LLC

Practice address

6 Hutton Centre Dr Ste 400
Santa Ana, CA 92707-8762

Phone

(714) 241-5600

NPI assigned

Feb 10, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lois Mastrocola

Title

Chief Financial Officer

Phone

(714) 241-5600

Specialties & licenses 1

Addresses

Tax ID family

GHC of MLK LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• GHC of MLK LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1477377349
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1992510796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUTTON CENTRE DR STE 400",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078762",
            "telephone_number": "714-241-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HUTTON CENTRE DR STE 400",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078762",
            "telephone_number": "714-241-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF MLK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "MASTROCOLA",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-241-5600"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Ghasemyeh, D.D.S.
• Corinna L. Ghassemy
• Ameerah Ghaznavi
• GHC Mental Health LLC
• GHC of Atascadero LLC
• Tatiana Gheybi, PA-C
• Navid Mansour Ghods, D.D.S.
• Micheline Ghurabi, M.D.
• Jennifer Giang, D.M.D.
• Erin Giangrande, DPT, PT

• Community/Behavioral Health Agency in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.