Healthcare Provider Details

I. General information

NPI: 1871404517
Provider Name (Legal Business Name): KARLA ANDREA DAVALOS ORDUNO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 HALL ST
ARBUCKLE CA
95912-0439
US

IV. Provider business mailing address

540A 6TH STREET
WILLIAMS CA
95912
US

V. Phone/Fax

Practice location:
  • Phone: 530-476-2522
  • Fax:
Mailing address:
  • Phone: 530-476-2892
  • Fax: 530-476-2289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: