Healthcare Provider Details

I. General information

NPI: 1184533440
Provider Name (Legal Business Name): CAROL WOLOSZYN BSC(OT), NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5852 CARBECK DR
HUNTINGTON BEACH CA
92648-1009
US

IV. Provider business mailing address

5852 CARBECK DR
HUNTINGTON BEACH CA
92648-1009
US

V. Phone/Fax

Practice location:
  • Phone: 562-519-0871
  • Fax:
Mailing address:
  • Phone: 562-519-0871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3403313
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: