Healthcare Provider Details

I. General information

NPI: 1285578708
Provider Name (Legal Business Name): STEVEN R BILLA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 N LOTUS PL
ANAHEIM CA
92801-1631
US

IV. Provider business mailing address

1309 N LOTUS PL
ANAHEIM CA
92801-1631
US

V. Phone/Fax

Practice location:
  • Phone: 714-296-8398
  • Fax:
Mailing address:
  • Phone: 714-296-8398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number106S00000X
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: