Psychology & Wellness

Specialty details in registry · Santa Ana, CA

Call (626) 274-3486 Directions

At a glance

1103 S Harbor Blvd, Santa Ana, CA 92704-2347

NPPES record updated Mar 23, 2017. Public records can lag behind changes at a practice.

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Practice location

1103 S Harbor Blvd Suite H
Santa Ana, CA 92704-2347

Professional details: NPI, taxonomy & registry record

NPI1437680303

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103TH0100X
Enumeration date: Mar 23, 2017
Record updated: Mar 23, 2017

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TH0100X · Primary

License reported: PSY24393 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1103 S Harbor Blvd
Suite H
Santa Ana, CA 92704-2347

Phone: (626) 274-3486

Mailing address

1103 S HARBOR BLVD
SUITE H
SANTA ANA, CA 927042347

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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