Provider Demographics
NPI:1063900058
Name:OCEAN ASSERTIVE HEALTHCARE INC.
Entity type:Organization
Organization Name:OCEAN ASSERTIVE HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KNAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-589-4569
Mailing Address - Street 1:205 PIER AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-3613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:205 PIER AVE STE 202
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-3613
Practice Address - Country:US
Practice Address - Phone:310-589-4569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No302R00000XManaged Care OrganizationsHealth Maintenance Organization