Healthcare Provider Details

I. General information

NPI: 1578392999
Provider Name (Legal Business Name): MONICA PINEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 W ORANGE AVE
ANAHEIM CA
92804-2899
US

IV. Provider business mailing address

3715 W ORANGE AVE
ANAHEIM CA
92804-2899
US

V. Phone/Fax

Practice location:
  • Phone: 714-220-4205
  • Fax:
Mailing address:
  • Phone: 714-220-4205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: