MEDICARE: PAULARINO COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1295675577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAULARINO COUNSELING LLC

Provider Business Mailing Address
First Line	:	3151 AIRWAY AVE STE A2
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4620
Country	:	US
Telephone Number	:	949-910-8178
Fax Number	:	949-825-5973

Provider Business Practice Location Address
First Line	:	3151 AIRWAY AVE STE A2
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4620
Country	:	US
Telephone Number	:	949-910-8178
Fax Number	:	949-825-5973

Authorized Official
Title or Position	:	OWNER
Name	:	ALAN W LEVY
Credential	:	PHD
Telephone Number	:	949-689-6334

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “PAULARINO COUNSELING LLC ” Practice Location

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