Healthcare Provider Details

I. General information

NPI: 1225972524
Provider Name (Legal Business Name): PATRICIA WAITHERA KARIUKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 S BEACH BVLD ANAHEIM APARTMENT 113
ANAHEIM CA
92804
US

IV. Provider business mailing address

870 S BEACH BLVD, ANAHEIM APARTMENT 113
ANAHEIM CA
92804
US

V. Phone/Fax

Practice location:
  • Phone: 949-536-0448
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: