Healthcare Provider Details

I. General information

NPI: 1922937853
Provider Name (Legal Business Name): DARING PATH PSYCHOLOGY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 N MADRONA AVE APT C
BREA CA
92821-4021
US

IV. Provider business mailing address

216 N MADRONA AVE APT C
BREA CA
92821-4021
US

V. Phone/Fax

Practice location:
  • Phone: 657-341-0778
  • Fax: 657-529-0085
Mailing address:
  • Phone: 657-341-0778
  • Fax: 657-529-0085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MAX B. WU
Title or Position: CLINICAL PSYCHOLOGIST/OWNER
Credential: PHD
Phone: 657-341-0778