Healthcare Provider Details

I. General information

NPI: 1295675577
Provider Name (Legal Business Name): PAULARINO COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 AIRWAY AVE STE A2
COSTA MESA CA
92626-4620
US

IV. Provider business mailing address

3151 AIRWAY AVE STE A2
COSTA MESA CA
92626-4620
US

V. Phone/Fax

Practice location:
  • Phone: 949-910-8178
  • Fax: 949-825-5973
Mailing address:
  • Phone: 949-910-8178
  • Fax: 949-825-5973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALAN W LEVY
Title or Position: OWNER
Credential: PHD
Phone: 949-689-6334