ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

County of Orange
Health Care Agency
Behavioral Health Services

Mental Health Plan

Provider List

Revised: November 15th, 2012

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 1 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Organizational Providers -
ADULTS
Emergency Mental Health Services-
During Working Hours Contact the African American, Latino, Asian/Pacific
Evaluation and Treatment Services (ETS)
1030 W. Warner Avenue Santa Ana, CA 92707 (714) 834-6900 Highlighted Adult Mental Health Adults (age 18+) Spanish, Tagalog, Vietnamese Islander,
for Adults
Neighborhood Clinics First for Lesbian/Gay/Bisexual/Transgender
Emergency Services

Aliso Viejo

Mental Health Services may be

Obtained Only After Referral by Your
Care Coordinator. This program will
provide comprehensive mental health
Asian/Pacific Islander, African American,
and wrap around services to
Bicultural Issues, European-American,
MHSA - Program Assertive Community seriously mentally ill consumers.
5 Mareblu Aliso Viejo, CA 92656 (949) 643-6930 Adults (Age 18+) Hearing Impaired, Latino,
Treatment (PACT) These consumers are generally
Lesbian/Gay/Bisexual/Transgender, Native
service and treatment resistant and
American
therefore have a chronic history
cycling through high cost services
such as acute inpatient treatment
and/or incarceration.
Mental Health Services may be
obtained only after referral by your
Care Coordinator. This program
provides single-service recovery
focused care to seriously mentally ill
consumers who may have co-
occurring substance abuse issues.
Asian/Pacific Islander, African American,
These consumers have achieved
Bicultural Issues, European-American,
stability as a result of services
Recovery Center South 5 Mareblu Aliso Viejo, CA 92656 (949) 643-6901 Adults (Age 18+) Hindi, Korean, Telugo Hearing Impaired, Latino,
provided in the AMHS Outpatient
Lesbian/Gay/Bisexual/Transgender, Native
Clinics and the main focus of this
American
program is peer support and
community reintegration. Consumers
in this program no longer need
traditional outpatient treatment but
would continue to benefit from
medication services and minimal
support.

Anaheim

Asian/Pacific Islander, African American,

Latino, Lesbian/Gay/Bisexual/Transgender,
Anaheim AMHS Clinic 2035 E. Ball Road, Suite 200 Anaheim, CA 92805 (714) 517-6300 Mental Health Services Adults (age 18+) Spanish, Vietnamese, Arabic
Middle Eastern, Native American,
Vietnamese
NAMI Warmline 222 S. Harbor #1025 (714) 991-6417 Warmline-non crisis
(Administrative Office) (1810 E. 17th St Anaheim, CA 92805 (714) 991-6412 telephone/text/chat support and All orange County residents Spanish, Farsi ,Vietnamese Latino
(714) 544-8488 referral 1-877-910-WARM

Adults ages 60 and over who are:

OASIS homeless or at risk of African American, Asian/Pacific Islander,
(Older Adult Support and Intervention homelessness; unserved; may have
1900 E. La Palma Ave., # 101 Anaheim, CA 92805 (714) 399-3480 Mental Health Services Spanish, Vietnamese Lesbian/Gay Bisexual/Transgender, Latino,
System) co-occurring mental illness and Native American, Vietnames, Older Adults
substance abuse. May make direct
referrals
Adults ages 18 and over who are:
homeless or at risk of
homelessness; unserved; may have
Telecare and Orange (TAO) (714) 226-9888 co-occurring mental illness and Spanish, Vietnamese, Tagalog, Korean,
2531 W. Woodland Dr. Anaheim, CA 92801 Full Service Wrap Around Program
substance abuse Farsi, Cantonese, Chamorzi

May make referrals directly to 714-

226-9888.
Mental Health Services may be
College Community Services Recovery Adults (age 18+) Cambodian, Chinese, Farsi, Tagalog,
1901 E. Center Anaheim, CA 92805 (714) 780-0750 Obtained Only After Referral by Your
Center Services Requiring Referral Vietnamese
Care Coordinator

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 2 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Mental Health Services may be

obtained only after referral by your
Care Coordinator. This program
provides single-service recovery
focused care to seriously mentally ill
consumers who may have co-
occurring substance abuse issues.
Asian/Pacific Islander, African American,
These consumers have achieved
Bicultural Issues, European-American,
stability as a result of services Cambodian, Loatian, Spanish,
Recovery Center North 303 W. Lincoln, Suite 130 Anaheim, CA 92805 (714) 520-7300 Adults (Age 18+) Hearing Impaired, Latino,
provided in the AMHS Outpatient Vietnamese
Lesbian/Gay/Bisexual/Transgender, Native
Clinics and the main focus of this
American
program is peer support and
community reintegration. Consumers
in this program no longer need
traditional outpatient treatment but
would continue to benefit from
medication services and minimal
support.

Costa Mesa

Mental Health Services may be

Mental Health Association Adults (age 18+)
420 W. 19th Street, Suite B Costa Mesa, CA 92627 (949) 646-9227 Obtained Only After Referral by Your Hindu, Spanish
-Costa Mesa Recovery Center Services Requiring Referral
Care Coordinator

Fullerton

Mental Health Services may be

Obtained Only After Referral by Your
Care Coordinator. This program will
provide comprehensive mental health
and wrap around services to
MHSA - Program Assertive Community seriously mentally ill consumers. American Sign Language, Spanish, Latino, Lesbian/Gay/Bisexual/Transgender,
211 W. Commonwealth Avenue, (Bldg.9) Fullerton, CA 92832 (714) 447-7000 Adults (Age 18+)
Treatment (PACT) These consumers are generally Burmese Native American, Samoan
service and treatment resistant and
therefore have a chronic history
cycling through high cost services
such as acute inpatient treatment
and/or incarceration.

Garden Grove

Adults ages 18 and over who have

recent history of incarcerration or
recidivism through correctional
system due to Mental Health issues
homeless or at risk of
Opportunity Knocks (714) 620- 8131 homelessness; unserved; may have
12800 Garden Grove Blvd., Ste. F & G Garden Grove, CA 92843 Mental Health / Dual Diagnosis English, Spanish, Vietnamese
(OK) co-occurring mental illness and
substance abuse (no parole, no
sexual offense, no violence)
Referrals from Correctional Mental
Health or direct if referral meets
criteria

All residents of Orange County,

including:
Underserved and un-served adults
and older adults 18 years and older
and their families -
ALL
Orange County Asian Pacific Islander
ethnicities and races Hmong, Samoan, Urdu, Spanish,
Community Alliance PEI/Outreach Hmong, Samoan, Urdu, Spanish, Tagalog,
12900 Garden Grove Blvd., Ste. 255 Garden Grove,CA 92843 (714) 636-9095 LGBTQI Tagalog, Vietnamese, Mandarin, and
(OCAPICA)- and Engagement Vietnamese, Mandarin, and Taiwanese
U.S. Veteran or Military Families Taiwanese
Outreach and Engagement
TAY (16-24) years old; foster or non-
foster)
Emancipated youth
Homeless
Deaf of hard of hearing
Refugees and Immigrants

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 3 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Adults (Age 18+)

Referrals are limited to clients
Employment Works 12822 Garden Grove Blvd., # A Garden Grove, CA 92843 (714) 796-0266 Mental Health / Job Support Spanish, Vietnamese, Korean
already receiving services in the
Mental Health Clinics.
Socialization -
St. Anselm"s Outreach to reconnect isolated adults
Cross Cultural 11277 Garden Grove Blvd Garden Grove, CA .92843 (714) 537-0608 Isolated adults, age 26 and above Vietnamese, Spanish, Korean, Farsi
to social connections
Community Center

Socialization-
Multi-Ethnic Outreach to reconnect isolated adults
13091 Galway Street Garden Grove, CA 92844 (714-893-8625 Isolated adults, age 26 and above Vietnamese, Spanish, Korean, Farsi Korean, Iranian, Vietnamese
Collaborative of Community to social connections
Agencies (MECCA)
Mental Health Services may be
Mental Health Association Adults (age 18+)
12755 Brookhurst Street, Suite 116 Garden Grove, CA 92843 (714) 638-8277 Obtained Only After Referral by Your Korean, Vietnamese
-Garden Grove Recovery Center Services Requiring Referral
Care Coordinator

Lake Forest

Mental Health Services may be

Mental Health Association Adults (age 18+)
22471 Aspan St., Ste. 103 Lake Forest (949) 458-2715 Obtained Only After Referral by Your Spanish, Farsi
Lake Forest Recovery Center Services Requiring Referral
Care Coordinator

Mission Viejo

Mission Viejo AMHS Clinic 23228 Madero Mission Viejo, CA 92691 (949) 454-3940 Mental Health Services Adults (age 18+) Bengali, Hindu, Urdu, Hebrew, Punjabi

Santa Ana

Asian/Pacific Islander, African American,

Korean, Spanish, Vietnamese, Mandarin, Adoptees, HIV, Latino,
Santa Ana AMHS Clinic 1200 N. Main Street, Suite 200 Santa Ana, CA 92701 (714) 480-6767 Mental Health Services Adults (age 18+)
Cambodian, Laotian, Thai Lesbian/Gay/Bisexual/Trnsgender, Native
American, Older Adults

Camino Nuevo
1615 N. French Street Santa Ana, CA 92701 (714) 824-8140 Mental Health Services Adults (age 18+) Spanish Latino, Bi-Lingual/Bi-Cultural in Spanish
Recovery Center

Suicide bereavement support and All orange County residents over 18

Didi Hirsch Survivor Support 2021 E. Fourth St. Suite 204 Santa Ana, CA 92705 (714) 547-0885 Spanish Latino
outreach yrs old

Mental Health Services may be

Asian American Senior Service Center Adults (age 18+) Cambodian, Chinese, Mandarin,
1540 E. 1st Street, Suite 224 Santa Ana, CA 92701 (714) 836-1272 Obtained Only After Referral by Your
-Santa Ana Services Requiring Referral Vietnamese
Care Coordinator

MHA CHOICES Adults ages 18 and over who are:

(Change Hope Opportunity Independence (714) 668-8498 Mental Health Services may be homeless or at risk of
Community Empowerment Success) 2416 S. Main Street Santa Ana, CA 82707 Obtained Only After Referral by Your homelessness; unserved; may have Spanish, Vietnamese, Tagalog
Care Coordinator co-occurring mental illness and
substance abuse. May make
referrals directly
Mental Health Services may be
Obtained Only After Referral by Your
Care Coordinator. This program will
provide comprehensive mental health
and wrap around services to
MHSA - Program Assertive Community seriously mentally ill consumers. Korean, Spanish, Vietnamese, Mandarin,
1200 N. Main St., Ste. 200 Santa Ana, CA 92701 (714) 480-6767 Adults (Age 18+)
Treatment (PACT) These consumers are generally Cambodian, Laotian, Thai
service and treatment resistant and
therefore have a chronic history
cycling through high cost services
such as acute inpatient treatment
and/or incarceration.
Asian/Pacific Islander, African American,
Chinese, Substance Abusing, Dual
(Central telephone services provided in the Older Adults Services Hindi, Mandarin, Spanish, Urdu,
Older Adults Services (714) 972-3700 Mental Health Services Diagnosed, Latino,
community) (Age 60+) Vietnamese
Lesbian/Gay/Bisexual/Transgender, Older
Adult/Gerontology

Outreach to reconnect isolated adults Vietnamese, spanish, Korean, Farsi,

Socialization Council on Aging 1971 E. 4th st Ste 200 Santa Ana CA 92705 (714) 479-0107 Isolated adults, age 26 and above
to social connections Armenian

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 4 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Adults ages 18 and over who are in

the WIT Court and are: homeless or
MHA Whatver It Takes at risk of homelessness; unserved;
(WIT Court) (714) 966-9999 may have co-occurring mental Spanish, Korean, German, Farsi, Sign
2416 S. Main Street Santa Ana, CA 82707 Mental Health Service
illness and substance abuse. Language
Referrals to this program come
from the WIT court through the
Public Defender’s office.

Westminster

Arabic, Amharic, Spanish, Yoruba,

Westminster AMHS Clinic 14140 Beach Boulevard, Suite 223 Westminster, CA 92683 (714) 896-7566 Mental Health Services Adults (age 18+) Arabic, Egyptian, Older Adults
Vietnamese

Organizational Providers - CHILDREN

Emergency Mental Health Services-

During Working Hours Contact the
Highlighted CYS Mental Health African American, Latino, Asian/Pacific
Evaluation and Treatment Services (ETS) Children and Youth Ambaric, Chinese, French, Korean,
(Telephone First to Access Services) (714) 834-6900 Neighborhood Clinics First for Islander,
for Children and Youth (Up to Age 18) Spanish, Tagalog, Vietnamese
Emergency Services - Do not walk-in Lesbian/Gay/Bisexual/Transgender, Eritrian
to the ETS. ETS is an adult only
facility.

Anaheim

Canyon Acres Children and Youth Foster Care, African American, Latino,
233 S. Quintana Avenue Anaheim Hills, CA 92807 (714) 383-9401 Mental Health Services Spanish
Anaheim Hills (Up to and Including Age 20) Lesbian/Gay/Bisexual/Transgender

Adoption and Foster Care, African

Kinship Center Children and Youth
8141 E Kaiser Blvd, Suite 100 Anaheim, CA 92808 (714) 202-2100 Mental Health Services Spanish American, Asian/Pacific Islander, Korean,
Anaheim (Up to and Including Age 20)
Latino, Lesbian/Gay/Bisexual/Transgender
NAMI Warmline 222 S. Harbor #1025 (714) 991-6417 Warmline-non crisis
(Administrative Office) (1810 E. 17th St Anaheim, CA 92805 (714) 991-6412 telephone/text/chat support and All orange County residents Spanish, Farsi ,Vietnamese Latino
(714) 544-8488 referral 1-877-910-WARM

Providence Community Services Children and Youth African American, Asian/Pacific Islander,
217 W. Cerritos Avenue, Building 8 Anaheim, CA 92805 (714) 254-8473 Mental Health Services Spanish,
-Anaheim (Up to and Including Age 20) Latino, Recovery

Western Youth Services (WYS) Outreach

131 W. Midway Drive Anaheim CA 92805 (714) 517-7107 PEI/Outreach and Engagement TAY(16-24) and their caregivers Spanish, Vietnamese Latino, Vietnamese
and Engagement

Western Youth Services Children and Youth

505 N. Euclid Ave., Ste 300 Anaheim, CA 92801 (714) 871-5646 Mental Health Services Spanish Latino
-Anaheim (Up to and Including Age 20)

Buena Park

Child Guidance Center Children and Youth

6301 Beach Boulevard, Suite 245 Buena Park, CA 90621 (714) 736-0231 Mental Health Services Spanish, Korean, Arabic Latino, Korean, Middle Eastern
-Buena Park (Up to and Including Age 20)

Costa Mesa

Alaska Native, African American,

Asian/Pacific Islander, Latino, Learning
Children and Youth
Costa Mesa CYS Clinic 3115 Redhill Avenue Costa Mesa, CA 92626 (949) 850-8408 Mental Health Services Farsi, Spanish, Tagalog Disabled/Developmentally Disabled,
(Up to and Including Age 20)
Lesbian/Gay/Bisexual/Transgender, Native
American

Providence Community Services Children and Youth

1503 South Coast Drive, Suite 202 Costa Mesa, CA 92626 (949) 515-5440 Mental Health Services Spanish Latino
-Costa Mesa (Up to and Including Age 20)

Fountain Valley

Western Youth Services Children and Youth

10101 Slater Avenue, Suite 241 Fountain Valley, CA 92708 (714) 378-2620 Mental Health Services Norwegian, Spanish, Vietnamese
-Fountain Valley (Up to and Including Age 20)

Fullerton

Child Guidance Center Children and Youth Spanish, Tagalog, French, Greek, Arabic, Latino, Asian/Pacific Islander, Srilankan,
2050 Youth Way, Building 1 Fullerton, CA 92835 (714) 871-9264 Mental Health Services
-Fullerton (Up to and Including Age 20) Tamil, Chinese Greek, African-American, Lesbian/Gay

Garden Grove

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 5 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

All residents of Orange County,

including:
Underserved and un-served adults
and older adults 18 years and older
and their families -
ALL
Orange County Asian Pacific Islander
ethnicities and races Hmong, Samoan, Urdu, Spanish,
Community Alliance PEI/Outreach Hmong, Samoan, Urdu, Spanish, Tagalog,
12900 Garden Grove Blvd., Ste. 255 Garden Grove,CA 92843 (714) 636-9095 LGBTQI Tagalog, Vietnamese, Mandarin, and
(OCAPICA)- and Engagement Vietnamese, Mandarin, and Taiwanese
U.S. Veteran or Military Families Taiwanese
Outreach and Engagement
TAY (16-24) years old; foster or non-
foster)
Emancipated youth
Homeless
Deaf of hard of hearing
Refugees and Immigrants

Huntington Beach

South Coast Children's Society Children and Youth African American, Asian/Pacific Islander,
2124 Main Street, Suite 165 Huntington Beach, CA 92848 (714) 536-0077 Mental Health Services Spanish, Arabic, Vietamese
Huntington Beach (Up to and Including Age 20) Latino, Iranian, Lesbian/Gay/Bisexual

Irvine

UCI-Child
Developmental
Early interventions with behavioral
Centre: English Children at risk of school failure and mental
19722 Mac Arthur Blvd. Irvine, CA 92612 (949) 542-4853 modification services in an academic Children 5-12
Positive (Mandarin, French, vietnamese, Spanish) health wellbeing.
setting.
Behavioral
Interventions

Laguna Beach

African American,
Children and Youth
Laguna Beach CYS Clinic 21632 Wesley Drive Laguna Beach, CA 92651 (949) 499-5346 Mental Health Services Spanish Lesbian/Gay/Bisexual/Transgender,
(Up to and Including Age 20)
Judaism, Physical Health Disorders

Mission Viejo

Arabic, Asian/Pacific Islander, African

American, Farsi, Filipino, Hawaiian, Latino,
Western Youth Services Children and Youth
26137 La Paz Road, Suite 230 Mission Viejo, CA 92691 (949) 595-8610 Mental Health Services Spanish Lesbian/Gay/Bisexual/Transgender, Native
-Mission Viejo (Up to and Including Age 20)
American, Physically Disabled, Refugee,
Sexual Abuse, Vietnamese

Los Alisos CYS Clinic Children and Youth Asian/Pacific Islander, Latino,
25171 Moor Avenue Mission Viejo, CA 92691 (949) 770-0855 Mental Health Services Russian, Spanish, Arabic
(School Based Clinic Site) (Up to and Including Age 20) Lesbian/Gay/Bisexual/Transgender

Orange

Child Abuse Prevention Center (CAPC) PEI/Outreach and Engagement

Outreach and Engagement 500 W. Main St., Stuite 1100 Orange 92868 (714) 543-4333 Promotion of emotional and social Children 0-18 and their families Spanish,Vietnamese Latino, Vietnamese, European
wellbeing of child

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 6 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Placentia
African American, Asian/Pacific Islander,
Arabian, Eritrean, Hearing Impaired,
Children and Youth American Sign Language, Farsi, Korean,
Placentia CYS Clinic 377 E. Chapman Avenue, Suite 110 Placentia, CA 92870 (714) 577-5400 Mental Health Services Iranian, Latino,
(Up to and Including Age 20) Spanish, Tigrinia
Lesbian/Gay/Bisexual/Transgender, Native
American

San Juan Capistrano

African American, Asian/Pacific Islander,
Chinese, Filipino, Hawaiian, Hearing
San Juan Capistrano CYS Clinic San Juan Capistrano, CA Children and Youth Impaired, Latino,
26891 Spring Street (949) 496-2931 Mental Health Services Spanish
(School Based Clinic Site) 92675 (Up to and Including Age 20) Lesbian/Gay/Bisexual/Transgender, Native
American, Physically Disabled, Refugee,
Sexual Abuse, Vietnamese
Western Youth Services San Juan Capistrano, CA Children and Youth Asian/Pacific Islander, African American,
31882 Camino Capistrano, Suite 108 (949) 487-6080 Mental Health Services Spanish, Swedish
-San Juan Capistrano 92675 (Up to and Including Age 20) Japanese, Latino

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 7 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Santa Ana

Asian Pacific Islander, African American,

Child Guidance Center Children and Youth
525 Cabrillo Park Drive., Suite 300 Santa Ana, CA 92701 (714) 953-4455 Mental Health Services Korean, Romanian, Spanish Latino, Lesbian/Gay/Bisexual/Transgender,
-Santa Ana (Up to and Including Age 20)
Physically handicapped.

Suicide bereavement support and All orange County residents over 18

Didi Hirsch Survivor Support 2021 E. Fourth St. Suite 204 Santa Ana, CA 92705 (714) 547-0885 Spanish Latino
outreach yrs old

Outreach services to the community

to parents who may need parent
Latino Health Access: Community training, case management and Parents and children in Orange Parents and children at risk of mental
450 W. 4th Street Santa Ana, CA 92701 (714) 542-4853 English, spanish, and Farsi
Outreach-Promotora Model support services for parenting. In County health wellbeing.
addition, LHA provides Community
Training to organizations
Families from diverse racial/ethnic
Latino Health Access (LHA) Outreach (714) 542-7792
450 W. 4th Street Suite 130 Santa Ana, CA 92701 PEI/Outreach and Engagement backgrounds throughout Orange Spanish, Farsi, Cambodian, Vietnamese Latino
and Engagement Ext.1026
County
Multi-Ethnic Collaborative of Community Outreach and engagement activities
(714) 202-4750 Arab-Middle Eastern, Korean, Armenian, Arabic, Farsi, Korean, Pashto, Arab-Middle Eastern, Korean, Persian,
Agencies (MECCA) Outreach and 600 W. Santa Ana Blvd. Suite 108 Santa Ana, CA 92701 conducted through 6 community
ext.1002 Persian, Latino, and Vietnamese spanish, Tigrinya, Urdu, Vietnamese Latino, vietnamese
Engagement agencies
African American, Asian/Pacific Islander,
Providence Community Services Children and Youth Italian, Mandarin, Spanish, Tagalog, Filipino, Hearing Impaired, Latino,
1633 E. 4th Street, Suite 120 Santa Ana, CA 92701 (714) 565-2830 Mental Health Services
-Santa Ana (Up to and Including Age 20) Tamil, Vietnamese Lesbian/Gay/Bisexual/Transgender, Native
American, Recovery

Outreach to reconnect isolated adults Vietnamese, spanish, Korean, Farsi,

Socialization Council on Aging 1971 E. 4th st Ste 200 Santa Ana CA 92705 (714) 479-0107 Isolated adults, age 26 and above
to social connections Armenian

African American, Arabian, Asian/Pacific

Children and Youth Spanish, Tamil, Vietnamese, Farsi, Islander, Cambodian, Iranian, Israeli,
Santa Ana CYS Clinic 1200 N. Main Street, Suite 500 Santa Ana, CA 92701 (714) 480-6600 Mental Health Services
(Up to and Including Age 20) Arabic, French Latino, Lesbian/Gay/Bisexual/Transgender,
Navtive American
Children including Early Childhood
Western Youth Services African American, Latino,
1666 N. Main St., Suite 400 Santa Ana, CA 92701 (714) 704-5900 Mental Health Services (0-5) and Youth Egyptian, Farsi, Spanish,
-Santa Ana Lesbian/Gay/Bisexual/Transgender
(Up to and Including Age 20)

Tustin

Adoption and Foster Care, African

Kinship Center Children and Youth
18302 Irvine Blvd., Suite 300 Tustin, 92780 (714) 957-1004 Mental Health Services Hindi, Portugese, Spanish American, Asian/Pacific Islander, Korean,
Tustin (Up to and Including Age 20)
Latino, Lesbian/Gay/Bisexual/Transgender

Westminster

Children and Youth Chinese, French, Spanish, Vietnamese, Asian/Pacific Islander, African American,
Westminster CYS Clinic 14140 Beach Boulevard, Suite 155 Westminster, CA 92683 (714) 896-7556 Mental Health Services
(Up to and Including Age 20) Mandarin, Cantonese Latino, Lesbian/Gay/Bisexual/Transgender

Individual Providers

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Abdishoo, Serge MD 1110 E Chapman Ave., Suite 203 Orange, CA 92866 (714)453-0688 calling this provider. For Middle Eastern
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years +
Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Abjelina Mental Health Inc 21615 Beren DO Ave
Abjelina, Kenneth MD Torrance CA 90502 (310) 212-1274 calling this provider. For Tagalog Asian
Ste 200
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 8 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health who suffer from a mental disorder
Outpatient Services for Orange and meet medical necessity criteria
County - Authorization is required for specialty mental health services.
before calling this provider. For
Agar, Trevor LCSW 3400 W Ball Rd Suite 100B Anaheim CA 92804 (714) 484-4900
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Applebaum, Bruce MD 18811 Huntington Street #200 Huntington Beach CA 92648 (949) 460-4973 calling this provider. For Cambodian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years +
Medi-Cal Specialty Mental Health who suffer from a mental disorder
Outpatient Services for Orange and meet medical necessity criteria
County - Authorization is required for specialty mental health services.
before calling this provider. For
Attar DO, Keith LMFT 4132 Katella Ave Suite 104 Los Alamitos CA 90720 (562) 234-4194
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health who suffer from a mental disorder
Outpatient Services for Orange and meet medical necessity criteria
County - Authorization is required for specialty mental health services.
before calling this provider. For
Badrtalei, Susan PhD 1440 E 1st Street Suite 406 Santa Ana, CA 92701 (714)547-2100 Farsi
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health who suffer from a mental disorder
Outpatient Services for Orange and meet medical necessity criteria
County - Authorization is required for specialty mental health services.
before calling this provider. For
Bahar, Lisa LMFT 28 Monarch Bay Plaza Suite N Dana Point CA 92629 (949) 212-2081
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health who suffer from a mental disorder
Outpatient Services for Orange and meet medical necessity criteria
County - Authorization is required for specialty mental health services.
before calling this provider. For
Bahar, Lisa LMFT 567 San Nicolas Drive, Suite 190 Newport Beach CA 92660 (949) 212-2081
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Balcos, Enrico MD PO Box 1526 South Pasadena CA 91031 (949) 436-3934 calling this provider. For Spanish, Filipino Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 9 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Basta, Fawzy MD 17075 Devonshire Street Suite 204 Northridge CA 91325 (818) 368-8929 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years +
Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Bergquist, Dwight A MD 5230 North Clark Avenue Suite 10 Lakewood CA 90712 (562) 804-4428 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed out-
Medi-Cal Specialty Mental Health of-county who suffer from a mental
OutpatientServices for Orange disorder and meet medical necessity
County - Authorization is required criteria for specialty mental health
before calling this provider. For services.
Blau, Cathy G LCSW 6528A Hillside Avenue Twentynine Palms CA 92277 (760) 367-2117
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed out-

Medi-Cal Specialty Mental Health of-county who suffer from a mental
OutpatientServices for Orange disorder and meet medical necessity
County - Authorization is required criteria for specialty mental health
before calling this provider. For services.
Bolivar, Luis Fernando LMFT 10329 Hole Ave. Riverside CA 92505 (951) 351-1600 Spanish Latino
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed out-

Medi-Cal Specialty Mental Health of-county who suffer from a mental
OutpatientServices for Orange disorder and meet medical necessity
County - Authorization is required criteria for specialty mental health
before calling this provider. For services.
Bolivar, Luis Fernando LMFT 598 N. "F" Street San Bernardino CA 92410 (951) 351-1600
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health who suffer from a mental disorder
Outpatient Services for Orange and meet medical necessity criteria
County - Authorization is required for specialty mental health services.
before calling this provider. For
Brannock, JoAnn C. PhD 321 N. Pomona Avenue Fullerton, CA 92832 (714)773-5006
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Rancho Cucamonga CA
Buche, Douglas MD 8253 White Oak Avenue (909) 987-1997 calling this provider. For
91730
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 10 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Medi-Cal Specialty Mental Health Orange County foster youth placed

Outpatient Services for Orange out-of-county who suffer from a
County - Authorization is required mental disorder and meet medical
before calling this provider. For necessity criteria for specialty
Burrell, Alejandrina F LMFT 4160 Temescal Canyon Road Suite 309 Corona CA 92883-4265 (909) 825-8754 Spanish Latino
authorization to see this provider and mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
Rancho Cucamonga CA before calling this provider. For mental health services.
Campbell, Christine PhD 8333 Foothill Blvd Ste 119 (909) 941-0333
91730 authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient MServices for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Carlson, Peter G LMFT 23210 Crenshaw Boulevard #250 Torrance CA 90505 (310) 325-8787
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Chaffee, Jon MD 5349 E. Second St. Long Beach CA 90803 (562) 433-3220 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years +
Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Western Medical Center, Anaheim 1025 South
Chong, Yun MD Anaheim Hills CA 92805 (714) 453-0688 calling this provider. For Asian
Anaheim Blvd.
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years +
Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Chueh, Daniel MD 1440 E First Street, Suite 420 Santa Ana, CA 92701 (714)547-2100 calling this provider. For Chinese Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
(909) 465-9337 Orange County foster youth placed
Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Colomer de Saca, Nidia MD 5343 Riverside Drive Chino CA 91710 calling this provider. For Spanish Latino
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 11 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Coskinas, Evagelos MD 427 E 17th St #F469 Costa Mesa CA 92627 (949) 500-5108 calling this provider. For Greek Greek
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years +
Medi-Cal Specialty Mental Health who suffer from a mental disorder
Outpatient Services for Orange and meet medical necessity criteria
County - Authorization is required for specialty mental health services.
before calling this provider. For
Costello, Ralph MFT 161 Fashion Lane, Suite 205 Tustin, CA 92780 (714)669-9120 Latino
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health who suffer from a mental disorder
Outpatient Services for Orange and meet medical necessity criteria
County - Authorization is required for specialty mental health services.
before calling this provider. For
Danto, Joan LCSW 1400 N Harbor Blvd., Suite 440 Fullerton, CA 92835 (714)992-5111
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years +

Medi-Cal Specialty Mental Health
who suffer from a mental disorder
Outpatient Medication Management
and meet medical necessity criteria
Services for Orange County -
for specialty mental health services.
Authorization is required before
Dao, Truc MD 13071 Brookhurst Street, Suite 180 Garden Grove, CA 92843 (714) 534-2760 calling this provider. For Vietnamese, French Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years +
Medi-Cal Specialty Mental Health who suffer from a mental disorder
Outpatient Services for Orange and meet medical necessity criteria
County - Authorization is required for specialty mental health services.
before calling this provider. For
Darland, Donna L LMFT 26932 Oso Parkway Suite 200 Mission Viejo CA 92691 (949) 202-9070
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
before calling this provider. For
Deliema, Kim LCSW 26932 Oso Parkway Suite 200 Mission Viejo CA 92691 (949) 374-4486
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

suffer from a mental disorder and
Medi-Cal Specialty Mental Health
meet medical necessity criteria for
Outpatient Medication Management
specialty mental health services.
Services for Orange County -
Authorization is required before
Deming, Jerry MFT 17772 Irvine Blvd., Suite 101 Tustin, CA 92780 (714)836-1101 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 12 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Deshmukh, Mukund MD 5353 G Street Chino CA 91710 (714) 940-0941 calling this provider. For Hindi Indian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Dopson, Maureen LMFT 1451 S. Rimpau Ave Suite 203 Corona CA 92879 (951) 897-4930
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
before calling this provider. For
Drancea, Georgeta CNP 3400 Ball Rd #100B Anaheim CA 92804 (714) 484-4900 Spanish, Romanian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
Rancho Cucamonga CA before calling this provider. For
Duprez, Gerald PhD 8253 White Oak Avenue (909) 987-1997
917307671 authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

(909) 945-8894 Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
Rancho Cucamonga CA before calling this provider. For mental health services.
Earle, Sheree L LCSW 9637 Arrow Route, Building 4A
91730 authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
before calling this provider. For
Espana, Laura E PsyD 4199 Campus Drive Suite 550 Irvine CA 92612 (714) 386-5766 Spanish Latino
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Farokhpay, Reza MD 10802 College Place Cerritos CA 90703 (949) 929-5984 calling this provider. For Farsi
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 13 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Farrag, Hassan MD 17075 Devonshire Street Suite 204 Northridge CA 91325 (818) 368-8929 calling this provider. For Arabic Arabic
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who
Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Fidel, Manolito B. MD PO Box 2089 Artesia CA 90702-2089 (714) 940-0941 calling this provider. For Tagalog Philipino
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who
Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
before calling this provider. For
Francis-Windle, Cherise NP 34456 Calle Portola Capistrano Beach CA 92624 (949) 412-9874 African American
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Freedman, Susan LCSW 480 4th Avenue Suite 511 Chula Vista CA 91910 (858) 581-0902
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Freedman, Susan LCSW 3737 Moraga Ave, Suite A203 San Diego CA 92117 (858) 581-0902
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Medication Management
meet medical necessity criteria for
Services for Orange County -
specialty mental health services.
Authorization is required before
Gamboa, Jose MD 1020 S Anaheim Blvd., Suite 214 Anaheim, CA 92805 (714)935-7684 calling this provider. For Filipino, Tagalog Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
before calling this provider. For
Garnett, Mary Jo MFT 2024 West Lincoln Avenue, Suite 2 Anaheim, CA 92801 (714)826-6654
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 14 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Orange County foster youth placed

Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Gillespie, William M MD 510 South Grand Ave Suite 200 Glen Dora CA 91741 (626) 914-1980 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who
Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
before calling this provider. For
Goodman, Judy MFT 9550 Warner Avenue, Suite 227 Fountain Valley, CA 92708 (949)760-7551
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Grayden, Thomas MD 27068 La Paz Rd Suite 731 Aliso Viejo CA 92656 (951) 244-4147 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed Asian
Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Grewal, Harinder MD 27715 Jefferson Ave Suite 112 Temecula CA 92590 (951) 239-6891 calling this provider. For Hindi, Panjabi
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed Asian
Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Grewal, Harinder MD 4002 Park Blvd Suite C San Diego, CA 92103 (951) 239-6891 calling this provider. For Hindi, Panjabi
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed Asian
Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Grewal, Harinder MD 969 Vale Terrace Suite D Vista CA 92591 (951) 239-6891 calling this provider. For Hindi, Panjabi
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Griffith, Nancy LCSW 1672 W. Ave. J, #207A Lancaster CA 93534 (661) 965-6067
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 15 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Orange County foster youth placed

out-of-county who suffer from a
mental disorder and meet medical
Medi-Cal Specialty Mental Health necessity criteria for specialty
Outpatient Services for Orange mental health services.
County - Authorization is required
before calling this provider. For
Hall, Kimberly PsyD 17675 Van Buren Blvd, Suite A Riverside CA 92504 (951) 789-4410
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

out-of-county who suffer from a
mental disorder and meet medical
Medi-Cal Specialty Mental Health necessity criteria for specialty
Outpatient Services for Orange mental health services.
County - Authorization is required
before calling this provider. For
Hansen, Donna LMFT 3200 21st St. Ste. 101 Bakersfield CA 93301 (661) 395-1068
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

out-of-county who suffer from a
mental disorder and meet medical
Medi-Cal Specialty Mental Health necessity criteria for specialty
Outpatient Services for Orange mental health services.
County - Authorization is required
Rancho Cucamonga CA before calling this provider. For
Harville Washington, Gwen DOlyn LCSW 9089 Baseline Road Suite 200 (909) 980-3567 African American
91730 authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

out-of-county who suffer from a
mental disorder and meet medical
Medi-Cal Specialty Mental Health necessity criteria for specialty
Outpatient Services for Orange mental health services.
County - Authorization is required
Rancho Cucamonga CA before calling this provider. For
Heaston, Sharon LMFT 9637 Arrow Route, Bldg 4, Ste A (909) 945-8894
91730 authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

out-of-county who suffer from a
mental disorder and meet medical
Medi-Cal Specialty Mental Health necessity criteria for specialty
Outpatient Services for Orange mental health services.
County - Authorization is required
before calling this provider. For
Hopper, Isuzu LMFT 23470 Olivewood Plaza Drive, Ste 110 Moreno Valley CA 92553 (951) 242-6039 Japanese Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
Huntington Beach, CA before calling this provider. For
Hughes, James MFT 16162 Beach Blvd, Suite 301 (714) 580-4490
92647 authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 16 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Hull, Dawn LMFT 23811 Washington Avenue, C-110-223 Murrieta CA 92562 (951) 677-1470
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Ibraheem, Laja MD calling this provider. For Yoruba African American
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who
Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
before calling this provider. For
Ilas, Michael DO Canyon Ridge Hospital 5353 G St Chino CA 91710 (714) 940-0941
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Irwin, Robert C PhD 410 South Melrose Drive Suite 202 Vista CA 92081 (760) 643-4086
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Javanshir, Zohreh MFT 3055 W Orange Avenue, Suite 206 Anaheim, CA 92804 (714)343-3066 calling this provider. For Farsi, Persian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who
Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Jayasinghe, Gamini MD 8522 Travistruck Place Buena Park CA 90621 (714) 523-8191 calling this provider. For Sinhalese Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Johansen, Anne LMFT 17215 Studebaker Rd. # 110 Cerritos CA 90703 (714) 651-8852 Native American
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 17 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Johansen, Robert PhD 17215 Studebaker Road, Ste 110 Cerritos CA 90703 (562) 860-2210 Spanish
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Kansagra, Pravin MD 1020 S. Anaheim Bvd., Suite 215 Anaheim, CA 92805 (714)335-8570 calling this provider. For Hindi, Gujarati Indian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who
Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Kaufman, Samuel MD PO BOX 996 Upland CA 91785 (909) 946-2801 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who
Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Kaur, Jasjit MD 1025 South Anaheim Boulevard Anaheim CA 92805 (213) 804-8854 calling this provider. For Hindi Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who
Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Khaled, Ebtesam MD PO Box 131 Huntington Beach CA 92648 (909) 305-0714 calling this provider. For Arabic
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who Asian
Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Khurana, Baljeet MD 680 Langs DOrf Dr. # 219 Fullerton CA 92831 (714) 626-0085 calling this provider. For Hindi, Panjabi
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Med-Cal beneficiaries 18 years + who Asian
Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Khurana, Baljeet MD 2220 E Fruit St Suite 109 Santa Ana CA 92701 (714) 626-0085 calling this provider. For Hindi, Panjabi
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 18 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
Huntington Beach, CA before calling this provider. For
Lam, Brian LCSW 16052 Beach Boulevard, Suite 214 (714)390-3198 Vietnamese Asian
92647 authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Langenhan, Jessica MD 1110 East Chapman Ave Suite 203 Orange CA 92866 (714) 453-0688 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Laurance, Susan LMFT 2755 Jefferson Street Suite 104 Carlsbad CA 92008 (760) 732-8010
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health suffer from a mental disorder and
Outpatient Services for Orange meet medical necessity criteria for
County - Authorization is required specialty mental health services.
before calling this provider. For
Le, An PhD 1801 E. Park Court, Suite E105 Santa Ana, CA 92701 (714)454-4842 Vietnamese Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Med-Cal beneficiaries 18 years + who

Medi-Cal Specialty Mental Health
suffer from a mental disorder and
Outpatient Medication Management
Services for Orange County - meet medical necessity criteria for
Authorization is required before specialty mental health services.
Lee, Bum Soo MD 1025 S. Anaheim Blvd Anaheim CA 92807 (714) 533-6220 calling this provider. For Korean Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Lissaur, Ralph MD 645 S Beach Blvd West Anaheim TRC Anaheim CA 92804 (714) 816-7050 calling this provider. For Dutch
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
Huntington Beach Hospital 8201 Newman Avenue, Huntington Beach, CA suffer from a mental disorder and
Macina, Steven D. DO MD (714) 375-5405 calling this provider. For
Ste 200 92647 meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 19 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
750 Terra DO Plaza Suite 40 BHC Alhambra suffer from a mental disorder and
McNeel, Wakelin MD Covina CA 91723 (626) 286-1191 calling this provider. For
Hospital meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Mehl, Richard LMFT 23185 La Cadena Drive, Suite 104 Laguna Hills, CA 92653 (949)597-0202 Caucasian
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Miller, Richard LMFT 1370 N. Brea Boulevard, Suite 144 Fullerton CA 92835-4123 (714)773-5066 Caucasian, Hispanic
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Mindus, Lester PhD 17215 Studebaker Rd Suite 110 Cerritos CA 90703 (562) 860-2210 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Morrow, Andrew MD 1025 S Anaheim Blvd Anaheim CA 92805 (714) 533-6220 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Multani, Harbans S MD 1880 Washington Street Colton CA 92324 (909) 423-0408 calling this provider. For Hindi Asian
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
OutpatientServices for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Muniz, Margarita LCSW 7032 Comstock Ave #200 Whittier CA 90602 (626) 533-2106 Spanish Latino
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 20 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Munoz-Ledo Koba, Rosalia LMFT 30101 Town Center Dr., Suite 109 Laguna Niguel, CA 92677 (949)294-4413 Spanish Latino
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Nguyen, Mai MD 14501 Magnolia Street, Suite 109 Westminster, CA 92683 (714)903-8090 calling this provider. For Vietnamese Asian
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
OutpatientServices for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Nickens, Lynn LCSW 14240 St. Andrews Dr. # 101 Victorville CA 92395 (760) 927-8896 African
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Nigh, Amie LMFT 5152 Katella Ave Suite 201 Los Alamitos CA 90720 (714) 463-0600 calling this provider. For Arabic
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Ohiaeri, Ikechukwu MD 14344 Cajon Victorville CA 92392 (760) 843-0506 calling this provider. For African
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

OutpatientServices for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
Huntington Beach, CA before calling this provider. For suffer from a mental disorder and
Pappoff, Judy MFT 17612 Beach Boulevard, Suite 3B (714)843-2621
92647 authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Pariseau, Kim MFT 960 West 17th Street, Suite F Santa Ana, CA 92706 (714)852-7277 Vietnamese Asian
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 21 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Parker, M. Joyce PhD 17675 Van Buren Boulevard, Ste A Riverside CA 92504 (951) 789-4410
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Pattara, Santi MD 2101 E. 4th Street, Suite 110A Santa Ana, CA 92705 (714)835-3314 calling this provider. For Thai, Laotian Asian
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Pavone, Susan LMFT 8253 White Oak Ave Rancho Cucamonga CA 91701 (909) 987-1997
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Perez, Francisco J. LCSW 505 N. Tustin Avenue, Suite 272 Santa Ana, CA 92705 (949)548-4690 Spanish Latino
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Perla, Richard LMFT 11530 La Mirada Blvd La Mirada CA 90638 (562) 944-3735 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Pompei, Ronald J. MD 3055 W. Orange Avenue, Suite 206 Anaheim, CA 92804 (714)237-3842 calling this provider. For Spanish
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and Children, Gay & Lesbian Issues,
Prange, John LMFT,PhD 1600 Dove, Suite 207 Newport Beach, CA 92660 (949)476-2030 Irish
authorization to see this provider and meet medical necessity criteria for Transvestism, Caucasian
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 22 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Orange County foster youth placed

Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Putnam, Nicholas H MD 4401 Manchester Ave #101 Encinitas CA 92024 (760) 753-4564 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
(714) 843-5020
Medi-Cal Specialty Mental Health
Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
17772 Beach Blvd., 2nd Floor Huntington Beach Huntington Beach, CA suffer from a mental disorder and
Richmond, Glenn MD calling this provider. For
Hospital 92647 meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Rodriguez, Martina LMFT 9637 Arrow Rte. Building #4 Suite A Rancho Cucamonga CA 91730 (909) 945-8894
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

(949) 274-9851
Medi-Cal Specialty Mental Health
Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Ross, Craig MD 301 Victoria St. Costa Mesa CA 92627 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Ross, Micki LCSW 1045 West Katella Avenue, Suite 330 Orange CA 92867 (949) 291-0936
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Ryu, Chun K. MD 1633 E. 4th Street, Suite 138 Santa Ana, CA 92701 (714)543-4447 calling this provider. For Korean Asian
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Sadeghi, Ebrahim PhD 14150 Culver Drive, Suite 307 Irvine, CA 92604 (949)533-2263 Farsi Persian
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 23 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Sandhu, Sarabjit S. MD 3 Corporate Plaza Drive Suite 140 Newport Beach, CA 92660 (949)642-7757 calling this provider. For Hindi, Urdu East Indian
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
San DOz, Stephanie L PsyD 18662 MacArthur Blvd., Suite 430 Irvine, CA 92612 (949)862-5819 Caucasian
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
San DOz, Tay PsyD 18662 MacArthur Blvd., Suite 430 Irvine, CA 92612 (949)862-5818 Caucasian
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and Spanish, French,
Schermerhorn, Clifton MD 1440 East First St. Suite 420 Santa Ana CA 92701 (714) 736-7234 calling this provider. For
meet medical necessity criteria for Portugueses,Vietnamese
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Schwartz, Michael MD 427 E 17th Street Suite 229 Costa Mesa, CA 92627 (949) 478-3444 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Sellers, Esther PhD 2290 N State College Blvd Fullerton CA 92831 (714) 998-1276
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Shuster, Harry LMFT 1274 E. Center Court # 112 Covina CA 91724 (626) 915-1681 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 24 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

(949) 310-6172
Medi-Cal Specialty Mental Health
Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Skorstad, Pamela PhD 300 S. El Camino Real, Suite 103B San Clemente CA 92672 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Starbuck, Gregg W LMFT 7177 Brockton Ave #445 Riverside CA 92506 (951) 743-5320
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Taylor, Brent LMFT 2025 North D Street San Bernardino CA 92405 (619) 594-3871 Spanish
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Taylor, Brent LMFT 2423 Camino Del Rio S, Ste 103 San Diego CA 92108 (619) 594-3871 Spanish
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Tedrow, Leland F LMFT 23470 Olivewood Plaza Drive Suite 110 Moreno Valley CA 92553 (951) 242-6039
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Teimoori, Sahar LCSW 901 DOve St. # 145 Newport Beach CA 92660 (949) 752-6268 Persian
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Orange County foster youth placed

Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Thomas-Robinson, Shelley LCSW 23470 Olive Wood Plaza Drive, Suite 140 Moreno Valley CA 92553 (951) 242-6039
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 25 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Ton-That, Chau MD 9533 Bolsa Avenue Westminster, CA 92683 (949)699-3445 calling this provider. For French, Vietnamese Asian, Vietnamese
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Ton-That, Chau MD 6B Liberty, Suite 115 Aliso Viejo, CA 92656 (949)699-3445 calling this provider. For French, Vietnamese Asian, Vietnamese
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Ton-That, Niem MD 9533 Bolsa Avenue Suite A Westminster, CA 92683 (949)699-3445 calling this provider. For French, Vietnamese Asian, Cambodian, Chinese, Vietnamese
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
out-of-county who suffer from a
Medi-Cal Specialty Mental Health mental disorder and meet medical
Outpatient Services for Orange necessity criteria for specialty
County - Authorization is required mental health services.
before calling this provider. For
Tsuchimoto, Mie LMFT 23811 Washington Avenue, C-110-223 Murrieta CA 92562 (951) 677-1470
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
Palos Verdes Estates CA suffer from a mental disorder and
Valdez, Juden MD 1000 Via Nogales (714) 940-0941 calling this provider. For Tagalog
90274 meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Valencerina, Madeleine M. MD 14752 Beach Boulevard Suite 204 La Mirada CA 90638 (714) 521-8262 calling this provider. For Finnish, Tamil
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and Gay & Lesbian Issues, African America,
Vigil, Daniel MFT 23120 Alicia Parkway, Suite 200 Mission Viejo, CA 92692 (949)586-1703 calling this provider. For Spanish
meet medical necessity criteria for Middle Eastern, Hispanic
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 26 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Weinstein, John R. MD 1440 East First St. # 406 Santa Ana, CA 92701 (714)547-2100 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Weinstein, John R. MD 12665 Garden Grove Blvd., Suite 714 Garden Grove, CA 92843 (800)577-4701 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
Wilckens-Gjata, Paola LCSW 2551 State Suite 234 Carlsbad CA 92008 (760) 535-1847 calling this provider. For Spanish
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Wong, Matthew MD PO Box 3003 South Pasadena CA 91031 (626) 316-3028 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
Huntington Beach, CA suffer from a mental disorder and
Wronski, Criag MD 18811 Huntington Street, Suite 200 (714)687-0351 calling this provider. For
92648 meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
Outpatient Services for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Yoffe, Jeanette LMFT 2001 S. Barrington Ave, Suite 214 Los Angeles CA 90025 (310) 351-8113
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Services for Orange
County - Authorization is required Med-Cal beneficiaries 18 years + who
before calling this provider. For suffer from a mental disorder and
Zishka, Ronald L. MFT 760 N. Euclid, Suite 108 Anaheim, CA 92801 (714)758-1884 Gay & Lesbian Issues, Transvestism
authorization to see this provider and meet medical necessity criteria for
/or to determine If this Provider Is specialty mental health services.
accepting new patients, please call
(800) 723-8641

Group Provider

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 27 of 28
 ORANGE COUNTY MENTAL HEALTH SERVICES CONTRACT MEDI-CAL PROVIDERS

Provider Type Address City, State, Zip Phone Provider Characteristics Populations Served Non-English languages Spoken Cultural Competency

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Windstone Behavioral Health 12459 Lewis Street, Ste 102 Garden Grove, CA 92840 (800) 577-4701 calling this provider. For Spanish Multi-Ethnic
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Windstone Behavioral Health 24031 El Toro Road, Ste 250 Laguna Hills CA 92653 (800) 577-4701 calling this provider. For Farsi, Vietnamese Multi-Ethnic
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
101 City Drive suffer from a mental disorder and
UCI Psychiatric Outpatient Clinic Orange, CA 92668 (714)456-5902 calling this provider. For Spanish, Vietnamese, French Multi-Ethnic
Neuropsychiatric Center meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health out-of-county who suffer from a
OutpatientServices for Orange mental disorder and meet medical
County - Authorization is required necessity criteria for specialty
before calling this provider. For mental health services.
Aurora Family Counseling, Inc. LMFT 24977 Washington Avenue, Suite K Murrieta, CA 92564 (951) 677-1470
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Coast Psychiatric Associates MD 1650 Ximeno Avenue, Ste 230 Long Beach, CA 90804 (562) 494-3633 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641
Orange County foster youth placed
Medi-Cal Specialty Mental Health
out-of-county who suffer from a
Outpatient Medication Management
mental disorder and meet medical
Services for Orange County -
necessity criteria for specialty
Authorization is required before
mental health services.
The Gary Center LMFT 341 South Hillcrest Street La Habra CA 90631 (562) 691-3263 calling this provider. For
authorization to see this provider and
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Medi-Cal Specialty Mental Health

Outpatient Medication Management
Services for Orange County -
Med-Cal beneficiaries 18 years + who
Authorization is required before
suffer from a mental disorder and
Memorial Group Counseling 4525 Atherton Street (562) 961-0155 calling this provider. For
meet medical necessity criteria for
authorization to see this provider and
specialty mental health services.
/or to determine If this Provider Is
accepting new patients, please call
(800) 723-8641

Orange County Provider List Revised: May 24, 2011

Providers on this list may not currently be accepting new clients. Page 28 of 28