Scholarship Prep

Specialty details in registry · Santa Ana, CA

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At a glance

1010 W 17Th St, Santa Ana, CA 92706-3504

NPPES record updated Sep 21, 2026. Public records can lag behind changes at a practice.

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Practice location

1010 W 17Th St
Santa Ana, CA 92706-3504
Professional details: NPI, taxonomy & registry record
NPI1942851746
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251300000X
Enumeration date
Sep 23, 2019
Record updated
Sep 21, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YS0200X

Specialty details in registry

103TS0200X

Specialty details in registry

106S00000X

Occupational Therapist

225X00000X

Speech-Language Pathologist

235Z00000X

Specialty details in registry

251300000X · Primary

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

Practice location

1010 W 17Th St
Santa Ana, CA 92706-3504
Phone
(714) 795-3498
Mailing address
313 N BIRCH ST STE 103

SANTA ANA, CA 927015263
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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