Healthcare Provider Details

I. General information

NPI: 1851224893
Provider Name (Legal Business Name): HAILEY BELLE CHASE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 CORONA POINTE CT STE 104
CORONA CA
92879-1721
US

IV. Provider business mailing address

7614 ALDERWOOD AVE
EASTVALE CA
92880-8930
US

V. Phone/Fax

Practice location:
  • Phone: 714-494-6252
  • Fax:
Mailing address:
  • Phone: 909-702-1015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10328
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: