Organization · Type 2 NPI

Optimist Boys Home & Ranch, Inc.

Community/Behavioral Health Agency · Woodland Hills, CA

NPI number 1174066435 Active

Practice location

4900 Serrania Ave
Woodland Hills, CA 91364-3301

Call (818) 657-3123 Map

Fax (818) 347-1326

Mailing address

6957 N Figueroa St
Los Angeles, CA 90042-1245

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1174066435
Entity type: Organization (Type 2)
Issued: Nov 18, 2016
Last updated: Jul 8, 2026
Status: Active

Other names

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Pacific Lodge Youth Services · other name
Pacific Lodge Youth Services · other name

Authorized official

Ms. Blythe Cotton Maling
Chief Executive Officer
(323) 443-3001

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174066435

Optimist Boys Home & Ranch, Inc.'s National Provider Identifier is 1174066435, issued on Nov 18, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Woodland Hills, CA. The record was last updated on Jul 8, 2026.