Healthcare Provider Details

I. General information

NPI: 1932045697
Provider Name (Legal Business Name): CHRISTINE OH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2271 W MALVERN AVE # 171
FULLERTON CA
92833-2106
US

IV. Provider business mailing address

2271 W MALVERN AVE # 171
FULLERTON CA
92833-2106
US

V. Phone/Fax

Practice location:
  • Phone: 949-371-9530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number161745
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: