Healthcare Provider Details

I. General information

NPI: 1871409151
Provider Name (Legal Business Name): GRACE ELIZABETH HILTBRUNNER-JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N CRESCENT WAY
ANAHEIM CA
92801-5401
US

IV. Provider business mailing address

5012 CALLE MANZANA
YORBA LINDA CA
92886-4626
US

V. Phone/Fax

Practice location:
  • Phone: 714-999-3511
  • Fax:
Mailing address:
  • Phone: 714-270-2681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: